Code: J0875

Description:
Description: Injection, dalbavancin, 5 mg
HCPCS Category: Drugs administered other than oral method, chemotherapy drugs
Other Descriptions:
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION
DALBAVANCIN 1500MG/300ML IVPB
INJECTION DALBAVANCIN 5MG
DALVANCE IVPB 1500MG/500ML D5W
Related codes:
Code: J0878
DAPTOMYCIN 500 MG INJ
Code: J0879
DAPTOMYCIN 350 MG IV SOLR
California
Hospital Address Code Price Last Updated
Roseville Medical Center 1600 Eureka Rd, Roseville J0875 $80 [source] 4 years ago
South San Francisco Medical Center 1200 El Camino Real, South San Francisco J0875 $80 [source] 4 years ago
Oakland Medical Center 3600 Broadway, Woodland Hills J0875 $80 [source] 4 years ago
Sacramento Medical Center 2025 Morse Ave, Sacramento J0875 $80 [source] 4 years ago
Kaiser Foundation Hospitals 4501 Sand Creek Road, Antioch J0875 $80 [source] 4 years ago
Modesto Medical Center 4601 Dale Rd, Modesto J0875 $80 [source] 4 years ago
Vacaville Medical Center 1 Quality Dr, Vacaville J0875 $80 [source] 4 years ago
San Leandro Medical Center 2500 Merced St, San Leandro J0875 $80 [source] 4 years ago
Walnut Creek Medical Center 1425 S Main St, Walnut Creek J0875 $80 [source] 4 years ago
Santa Clara Medical Center 700 Lawrence Expy, Santa Clara J0875 $80 [source] 4 years ago
South Sacramento Medical Center 6600 Bruceville Rd, Sacramento J0875 $80 [source] 4 years ago
Richmond Medical Center 901 Nevin Ave, Richmond J0875 $80 [source] 4 years ago
Santa Rosa Medical Center 401 Bicentennial Way, American Canyon J0875 $80 [source] 4 years ago
Redwood City Medical Center 1100 Veterans Blvd, Redwood City J0875 $80 [source] 4 years ago
Vallejo Medical Center 975 Sereno Dr, Vallejo J0875 $80 [source] 4 years ago
San Rafael Medical Center 99 Montecillo Rd, San Rafael J0875 $80 [source] 4 years ago
San Francisco Medical Center 2525 Geary Blvd, San Francisco J0875 $80 [source] 4 years ago
Fresno Medical Center 39400 Paseo Padre Pkwy, Fresno J0875 $80 [source] 4 years ago
San Jose Medical Center 250 Hospital Pkwy, San Jose J0875 $80 [source] 4 years ago
Los Alamitos Medical Center 3751 Katella Ave., Los Alamitos J0875 $124 [source] 4 years ago
Sutter Santa Rosa Regional Hospital 30 Mark West Springs Rd, Santa Rosa J0875 $758 [source] 4 years ago
Sutter Medical Center Of Sacramento 2825 Capitol Avenue, Sacramento J0875 $7,088 [source] 4 years ago
Sutter Medical Center, Sacramento 2825 Capitol Ave, Sacramento J0875 $7,088 [source] 4 years ago
Temecula Valley Hospital 31700 Temecula Parkway, Temecula J0875 $8,582 [source] 4 years ago

ChargemasterDB by Joseph Paul Cohen
A database of US hospital prices based on data made available by the Centers for Medicare & Medicaid Services (CMS), HHS price transparancy rule 45 CFR ยง180.