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
Maryland
Hospital Address Code Price Last Updated
Upmc Western Maryland 10701 New Georges Creek Rd Sw, Frostburg J0875 $23 [source] 4 years ago
Sinai Hospital Of Baltimore 2401 W Belvedere Ave, Baltimore J0875 $36 [source] 4 years ago
Northwest Hospital Center 5401 Old Court Rd, Randallstown J0875 $37 [source] 4 years ago
The Good Samaritan Hospital 5601 Loch Raven Blvd, Baltimore J0875 $50 [source] 4 years ago
Carroll Hospital Center 200 Memorial Ave, Westminster J0875 $60 [source] 4 years ago
The Union Memorial Hospital 201 E University Pkwy, Baltimore J0875 $62 [source] 4 years ago
Harbor Hospital 3001 S Hanover St, Brooklyn J0875 $84 [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.