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
Texas
Hospital Address Code Price Last Updated
Ascension Providence 6901 Medical Pkwy, Woodway J0875 $33 [source] 4 years ago
Adventhealth Central Texas 2201 Clear Creek Rd, Killeen J0875 $45 [source] 4 years ago
South Texas Health System Children’s 1102 W. Trenton Road, Edinburg J0875 $2,053 [source] 4 years ago
South Texas Health System Heart 1900 South D Street, Mcallen J0875 $2,053 [source] 4 years ago
South Texas Health System Mcallen 301 W. Expressway 83, Mcallen J0875 $2,053 [source] 4 years ago
Northwest Texas Healthcare System 1501 S. Coulter, Amarillo J0875 $2,674 [source] 4 years ago
Texas Health Huguley 11801 South Fwy, Burleson J0875 $4,243 [source] 4 years ago
St. David's Healthcare , Round Rock J0875 $5,211 [source] 4 years ago
Medical City Dallas 13155 Noel Rd. Suite 200, Dallas J0875 $10,440 [source] 4 years ago
Adventhealth Rollins Brook 608 N Key Ave, Lampasas J0875 $11,433 [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 §180.