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
Michigan
Hospital Address Code Price Last Updated
St. John Providence 28000 Dequindre Rd, Warren J0875 $23 [source] 4 years ago
Ascension Providence Rochester Hospital 1101 W University Dr, Rochester J0875 $26 [source] 4 years ago
Mclaren Northern Michigan 416 Connable Ave, Petoskey J0875 $34 [source] 4 years ago
Providence Hospital And Medical Centers 16001 W 9 Mile Rd, Southfield J0875 $41 [source] 4 years ago
St. John Macomb Oakland Hospital-Warren Campus 11800 E 12 Mile Rd, Warren J0875 $46 [source] 4 years ago
William Beaumont Hospital 3555 W 13 Mile Rd, Royal Oak J0875 $1,539 [source] 4 years ago
William Beaumont Hospital 10000 Telegraph Rd, Taylor J0875 $1,539 [source] 4 years ago
William Beaumont Hospital 468 Cadieux Rd, Grosse Pointe J0875 $2,283 [source] 4 years ago
Mclaren Central Michigan 1221 South Dr, Mount Pleasant J0875 $4,363 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre Rd, Troy J0875 $6,469 [source] 4 years ago
Beaumont Ashn, Llc 1919 Technology Dr Ste B, Troy J0875 $6,469 [source] 4 years ago
William Beaumont Hospital 44201 Dequindre, Troy J0875 $6,469 [source] 4 years ago
Beaumont Wayne 33155 Annapolis St, Wayne J0875 $6,792 [source] 4 years ago
Oakwood Healthcare Inc Beaumont Service Center, J0875 $6,792 [source] 4 years ago
Midmichigan Medical Center Gratiot 300 E Warwick Dr, Alma J0875 $9,005 [source] 4 years ago
Midmichigan Medical Center Gladwin , Gladwin J0875 $9,168 [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.