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
ERAVACYCLINE DIHYDROCHLORIDE 100 MG/5ML IV (WET SOLR VIAL)
Jasper, GA
See all hospitals reporting HCPCS J0122 →Price type
Piedmont Mountainside’s median price of $290 is 13844% above the median hospital's median price ($2), higher than 94% of the 1,399 hospitals reporting HCPCS J0122. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | UnitedHealthcare united healthcare fee schedule · both | $189 | $189 | $63 | 33% | — | $126 – $252 |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $189 | $189 | $63 | 33% | — | $126 – $252 |
| 3 | Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges | $220 | $220 | $42 | 19% | — | $177 – $262 |
| 4 | Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges | $231 | $231 | $45 | 19% | — | $186 – $275 |
| 5 | Cigna cigna fee schedule · both | $261 | $261 | $87 | 33% | — | $174 – $348 |
| 6 | Cigna cigna connect fee schedule · both | $261 | $261 | $87 | 33% | — | $174 – $348 |
| 7 | First Health first health percent of total billed charges · bothfrom % of charges | $347 | $347 | $67 | 19% | — | $280 – $414 |
| 8 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $397 | $397 | $77 | 19% | — | $320 – $473 |
| 9 | Phcs phcs percent of total billed charges · bothfrom % of charges | $397 | $397 | $77 | 19% | — | $320 – $473 |
| 10 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $421 | $421 | $81 | 19% | — | $340 – $503 |
| 11 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $421 | $421 | $81 | 19% | — | $340 – $503 |
Last updated: Jul 1, 2026
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