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
NITHIODOT 3/125 MG INJ
Georgetown, TX
See all hospitals reporting HCPCS J0211 →Price type
St. David's Georgetown Hospital’s median price of $751 is 25794% above the median hospital's median price ($3), higher than 95% of the 1,197 hospitals reporting HCPCS J0211. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 24 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 narrownetworkhix fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield blueadvantage fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | UnitedHealthcare smallgroup fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Blue Cross Blue Shield ppo fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 11 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 12 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 13 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $118 | $118 | — | — | — | $118 – $118 |
| 14 | Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 15 | Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges | $400 | $400 | — | — | — | $400 – $400 |
| 17 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $586 | $586 | — | — | — | $586 – $586 |
| 18 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $654 | $654 | — | — | — | $654 – $654 |
| 19 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $654 | $654 | — | — | — | $654 – $654 |
| 20 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $751 | $751 | — | — | — | $751 – $751 |
| 21 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 22 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.5k | $129 | 8% | — | $1.3k – $1.6k |
| 23 | MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 24 | MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
Last updated: Sep 1, 2026
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