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
Massachusetts
Hospital Address Code Price Last Updated
Brigham & Women Faulkner Hospital 1153 Centre St, Jamaica Plain J0875 $3,934 [source] 4 years ago
Martha's Vineyard Hospital One Hospital Road, Oak Bluffs J0875 $4,440 [source] 4 years ago
Newton Wellesley Hospital 2014 Washington St, Newton Lower Falls J0875 $6,216 [source] 4 years ago
Massachusetts General Hospital 55 Fruit St, Boston J0875 $6,290 [source] 4 years ago
Brigham & Womens Hospital, Inc. 75 Francis St, Boston J0875 $6,290 [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.