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
Tennessee
Hospital Address Code Price Last Updated
St. Jude Children's Research Hospital , Memphis J0875 $18 [source] 4 years ago
Saint Thomas River Park Hospital, Llc 120 Walnut Commons Ln Ste D, Cookeville J0875 $32 [source] 4 years ago
Ascension Saint Thomas Stones River 324 Doolittle Rd, Woodbury J0875 $32 [source] 4 years ago
Ascension Saint Thomas Dekalb 520 W Main St, Smithville J0875 $32 [source] 4 years ago
Ascension Saint Thomas Highlands 401 Sewell Dr, Sparta J0875 $32 [source] 4 years ago
Saint Thomas Hickman Hospital 1518 Highway 100, Centerville J0875 $33 [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.