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
ACETAZOLAMIDE SODIUM 500 MG/5ML IJ (WET SOLR VIAL)
Augusta, GA
See all hospitals reporting HCPCS J1120 →Price type
Piedmont Augusta’s median price of $30 is 49% below the median hospital's median price ($59), higher than 21% of the 2,109 hospitals reporting HCPCS J1120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 14 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 | Blue Cross Blue Shield blue cross hmo fee schedule · both | $20 | $19 | $0 | 2% | — | $19 – $20 |
| 2 | Blue Cross Blue Shield blue cross ppo fee schedule · both | $20 | $19 | $0 | 2% | — | $19 – $20 |
| 3 | Anthem anthem pathway fee schedule · both | $23 | $22 | $2 | 9% | — | $19 – $23 |
| 4 | Caresource caresource medicaid fee schedule · both | $30 | $26 | $5 | 20% | — | $19 – $30 |
| 5 | Bcbs Sc bcbs south carolina exchange percent of total billed charges · bothfrom % of charges | $54 | $37 | $24 | 65% | — | $3 – $54 |
| 6 | UnitedHealthcare united healthcare fee schedule · both | $50 | $40 | $15 | 37% | — | $19 – $50 |
| 7 | UnitedHealthcare united healthcare exchange fee schedule · both | $50 | $40 | $15 | 37% | — | $19 – $50 |
| 8 | Cigna cigna fee schedule · both | $69 | $52 | $24 | 45% | — | $19 – $69 |
| 9 | Blue Cross Blue Shield blue cross south carolina fee schedule · both | $97 | $71 | $37 | 52% | — | $19 – $97 |
| 10 | Medcost medcost percent of total billed charges · bothfrom % of charges | $132 | $91 | $59 | 65% | — | $8 – $132 |
| 11 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $146 | $100 | $65 | 65% | — | $8 – $146 |
| 12 | Phcs phcs percent of total billed charges · bothfrom % of charges | $146 | $100 | $65 | 65% | — | $8 – $146 |
| 13 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $246 | $168 | $109 | 65% | — | $14 – $246 |
| 14 | First Health first health percent of total billed charges · bothfrom % of charges | $282 | $193 | $125 | 65% | — | $16 – $282 |
Last updated: Jul 1, 2026
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