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
Georgia
Hospital Address Code Price Last Updated
Emory University Hospital 1364 Clifton Rd Ne, Atlanta J0875 $37 [source] 4 years ago
Murray Medical Center, Inc. 104 Hospital Dr, Chatsworth J0875 $45 [source] 4 years ago
Adventist Health System Georgia, Inc 170 Curtis Pkwy Ne, Calhoun J0875 $45 [source] 4 years ago
Adventist Health System Georgia Inc 1035 Red Bud Rd Ne, Calhoun J0875 $45 [source] 4 years ago
Cartersville Medical Center 960 Joe Frank Harris Pkwy, Cartersville J0875 $3,748 [source] 4 years ago
Murray County Memorial Hospital Authority 707 Old Dalton Ellijay Rd, Chatsworth J0875 $19,555 [source] 4 years ago
Adventhealth Gordon 105 Willowbrook Way Se, Calhoun J0875 $19,555 [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.