Vancomycin hydrochloride IV solution, 750 mg in 150 mL at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJ, VANCOMYCIN HCL (XELLIA)

Jasper, TX

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $22 is 107% above the median hospital's median price ($11), higher than 71% of the 971 hospitals reporting HCPCS J3372. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3372 at Southeast Texas - Jasper Memorial

Negotiated rates from the hospital’s own file: 2 payers, 10 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 new business fee schedule · outpatient	$11	$11	—	—	—	$11 – $11
2	Aetna epo fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
3	Aetna hmo fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
4	Aetna pos fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
5	Aetna ppo fee schedule · outpatient	$13	$13	—	—	—	$13 – $13
6	Bcbs Tx blue advantage hmo fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
7	Bcbs Tx heb fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
8	Bcbs Tx hmo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
9	Bcbs Tx ppo fee schedule · outpatient	$40	$40	—	—	—	$40 – $40
10	Bcbs Tx traditional fee schedule · outpatient	$41	$41	—	—	—	$41 – $41

Last updated: Jan 13, 2026

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