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
DALBAVANCIN HCL 500 MG SOLR 1 EACH VIAL
LEXINGTON, MS
See all hospitals reporting HCPCS J0875 →Price type
Ummc Holmes County’s median price of $6.5k is 21505% above the median hospital's median price ($30), higher than 97% of the 1,885 hospitals reporting HCPCS J0875. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 13 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 | Molina mscan molina fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Cigna cigna commercial fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Molina molina childrens health insurance plan fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Tricare tricare percent of total billed charges · bothfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 5 | Humana humana medicare advantage percent of total billed charges · bothfrom % of charges | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 6 | UnitedHealthcare united healthcare medicare adv percent of total billed charges · bothfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 7 | Ambetter insurance exchange by magnolia percent of total billed charges · bothfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 8 | WellCare wellcare medicare advantage percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 9 | Devoted devoted health medicare lex percent of total billed charges · bothfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 10 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 11 | Aetna aetna fee schedule · both | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 12 | Phcs phcs network percent of total billed charges · bothfrom % of charges | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 13 | Molina molina marketplace percent of total billed charges · bothfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
Last updated: Apr 1, 2026
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