Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
AZTREONAM-AVIBACTAM 2 GRAM INTRAVENOUS SOLUTION
Utica, NY
See all hospitals reporting HCPCS J0458 →Price type
MVHS, Inc.’s median price of $1.1k is 61476% above the median hospital's median price ($2), higher than 97% of the 646 hospitals reporting HCPCS J0458. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus excellus bcbs medicaid fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $336 | $336 | — | — | — | $336 – $336 |
| 3 | Cigna mvp and cigna commercial fee schedule · both | $470 | $470 | — | — | — | $470 – $470 |
| 4 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $892 | $892 | — | — | — | $892 – $892 |
| 5 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Aug 7, 2026
See Injection of aztreonam with avibactam, 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.