Injection of dalteparin sodium, per 2,500 IU at St. David's Georgetown Hospital

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.

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Generated: October 20, 2026

Original text from hospital filings

DALTEPARIN 5000 U INJ

Georgetown, TX

See all hospitals reporting HCPCS J1645 →

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How this price compares nationally

St. David's Georgetown Hospital’s median price of $170 is 487% above the median hospital's median price ($29), higher than 88% of the 1,202 hospitals reporting HCPCS J1645. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1645 at St. David's Georgetown Hospital

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	$19	$19	—	—	—	$19 – $19
2	UnitedHealthcare allpayerappendix fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
3	UnitedHealthcare smallgroup fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
4	Blue Cross Blue Shield blueadvantage fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
5	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
6	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
7	Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
8	Superior Healthplan star percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
9	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
10	Blue Cross Blue Shield blueessentials fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
11	Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
12	Blue Cross Blue Shield eposoa fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
13	Blue Cross Blue Shield ppo fee schedule · outpatient	$48	$48	—	—	—	$48 – $48
14	Superior Healthplan ambetterepo percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
15	Superior Healthplan ambetterhmo percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
16	Superior Healthplan valuehmo percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
17	UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges	$152	$152	—	—	—	$152 – $152
18	Humana hmo percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
19	Humana ppo percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$195	$195	—	—	—	$195 – $195
21	UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges	$275	$275	—	—	—	$275 – $275
22	First Health ppo percent of total billed charges · outpatientfrom % of charges	$412	$397	$34	8%	—	$350 – $428
23	MultiPlan phcsprimarynetwork percent of total billed charges · outpatientfrom % of charges	$459	$459	—	—	—	$459 – $459
24	MultiPlan complementarynetwork percent of total billed charges · outpatientfrom % of charges	$520	$520	—	—	—	$520 – $520

Last updated: Sep 1, 2026

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