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
Florida
Hospital Address Code Price Last Updated
Adventhealth Lake Wales 410 South 11Th Street, Lake Wales J0875 $45 [source] 4 years ago
Adventhealth Deland 701 W. Plymouth Avenue, Deland J0875 $45 [source] 4 years ago
Florida Hospital Carrollwood 7171 N Dale Mabry Hwy, Tampa J0875 $45 [source] 4 years ago
Gulf Breeze Hospital 1110 Gulf Breeze Parkway, Gulf Breeze J0875 $2,322 [source] 4 years ago
Baptist Hospital 1000 West Moreno St, Pensacola J0875 $2,322 [source] 4 years ago
Jay Hospital 14114 Alabama Street, Jay J0875 $3,666 [source] 4 years ago
Adventhealth Fish Memorial 1055 Saxon Blvd, Orange City J0875 $4,290 [source] 4 years ago
Adventhealth Daytona Beach 301 Memorial Medical Pkwy, Daytona Beach J0875 $4,584 [source] 4 years ago
Adventhealth East Orlando 12301 Lake Underhill Rd Suite 219, Orlando J0875 $6,435 [source] 4 years ago
Bert Fish Medical Center Inc 401 Palmetto St, New Smyrna Beach J0875 $6,785 [source] 4 years ago
North Florida Regional Medical Center 6500 W Newberry Rd, Gainesville J0875 $6,809 [source] 4 years ago
Adventhealth Tampa 3100 E Fletcher Ave, Tampa J0875 $8,428 [source] 4 years ago
Adventist Health System/Sunbelt, Inc. 4001 W Linebaugh Ave, Tampa J0875 $8,428 [source] 4 years ago
Adventhealth Waterman 1000 Waterman Way, Tavares J0875 $9,853 [source] 4 years ago
Adventhealth Wesley Chapel 1127 Bruce B. Downs Blvd, Zephyrhills J0875 $11,187 [source] 4 years ago
Florida Hospital Zephyrhills Inc 7050 Gall Blvd, Zephyrhills J0875 $11,248 [source] 4 years ago
Adventist Health System-Sunbelt Inc 2100 Ocoee Apopka Rd, Apopka J0875 $11,699 [source] 4 years ago
Adventhealth Celebration 400 Celebration Place Attn: Pharmacare Center Pharmacy , Kissimmee J0875 $11,699 [source] 4 years ago
Florida Oncology Network Pa 7727 Lake Underhill Rd, Orlando J0875 $11,699 [source] 4 years ago
Adventhealth Winter Park 3099 Aloma Ave, Winter Park J0875 $11,699 [source] 4 years ago
Adventhealth South Overland Park 10987 Sheldon Rd Ste 100, Tampa J0875 $11,699 [source] 4 years ago
Adventhealth Kissimmee 2501 N. Orange Ave, Orlando J0875 $11,699 [source] 4 years ago
Adventhealth Medical Group 1395 S Pinellas Ave, Tarpon Springs J0875 $14,519 [source] 4 years ago
Adventhealth Dade City 13100 Fort King Rd, Dade City J0875 $17,374 [source] 4 years ago
Adventhealth Ocala 1500 Sw 1St Ave, Ocala J0875 $18,584 [source] 4 years ago
Westside Regional Medical Center 8201 W Broward Blvd, Fort Lauderdale J0875 $19,383 [source] 4 years ago
Adventist Health System-Sunbelt Inc 4200 Sun N Lake Blvd, Sebring J0875 $20,128 [source] 4 years ago
Adventist Health System Sunbelt Inc. 735 S 5Th Ave, Wauchula J0875 $20,128 [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.