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
VANCOMYCIN 5 GRAM INTRAVENOUS SOLUTION
Peoria, IL
See all hospitals reporting HCPCS J3376 →Price type
Proctor Community Hospital’s median price of $43 is 86140% above the median hospital's median price ($0), higher than 88% of the 453 hospitals reporting HCPCS J3376. 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, 17 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 | Aetna Better Health managed medicaid percent of total billed charges · inpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 2 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Molina managed medicaid percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 5 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 6 | Molina medicare-medicaid (mmai/dual) percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 7 | Blue Cross Blue Shield blue choice percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 8 | Blue Cross Blue Shield blue choice options percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $42 | $42 | — | — | — | $42 – $42 |
| 10 | UnitedHealthcare ppo percent of total billed charges · inpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 11 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 12 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Aetna commercial ppo percent of total billed charges · outpatientfrom % of charges | $53 | $53 | — | — | — | $53 – $53 |
| 14 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 15 | MultiPlan ppo percent of total billed charges · inpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 16 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $54 | $54 | — | — | — | $54 – $54 |
| 17 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
Last updated: Apr 15, 2026
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