Acetazolamide 500 mg solution for injection cost in Pennsylvania
ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION · HCPCS J1120
$25.80
lowest in Pennsylvania
$104.80
state median
$748.00
highest in Pennsylvania
$122.55
national median
| Hospital | City | Cash price | Negotiated range | Payers |
|---|---|---|---|---|
| UPMC Community Osteopathic | Harrisburg | $25.80 | $6.20 – $84.25 | 12 |
| UPMC Hanover | Hanover | $25.80 | $19.84 – $39.65 | 6 |
| UPMC Lititz | Lititz | $25.80 | $19.84 – $39.65 | 6 |
| UPMC Memorial | York | $25.80 | $19.84 – $41.24 | 9 |
| UPMC Somerset | Somerset | $25.80 | $19.84 – $50.08 | 5 |
| UPMC Carlisle | Carlisle | $25.80 | $4.25 – $39.65 | 14 |
| UPMC Cole | Coudersport | $45.60 | $19.84 – $60.80 | 14 |
| Uniontown Hospital | Uniontown | $62.01 | $42.22 – $42.22 | 1 |
| UPMC Kane | Kane | $70.80 | $19.84 – $45.26 | 6 |
| WellSpan Waynesboro Hospital | Waynesboro | $88.40 | $15.07 – $66.71 | 4 |
| UPMC Jameson | New Castle | $90.40 | $12.53 – $51.49 | 6 |
| UPMC Altoona | Altoona | $100.80 | $12.53 – $100.80 | 12 |
| UPMC Horizon-Greenville | Greenville | $104.80 | $12.53 – $128.95 | 6 |
| UPMC McKeesport | Mckeesport | $104.80 | $12.53 – $51.08 | 6 |
| UPMC Bedford | Everett | $128.80 | $12.53 – $144.90 | 17 |
| UPMC Mercy | Pittsburgh | $133.60 | $12.53 – $50.60 | 5 |
| UPMC Northwest | Seneca | $195.20 | $12.53 – $131.32 | 5 |
| UPMC Hamot | Erie | $222.40 | $12.53 – $76.56 | 7 |
| UPMC Muncy | Muncy | $256.80 | $19.84 – $21.83 | 5 |
| UPMC Wellsboro | Wellsboro | $256.80 | $19.84 – $21.83 | 5 |
| UPMC Williamsport | Williamsport | $256.80 | $19.84 – $21.83 | 5 |
| WellSpan Ephrata Community Hospital | Ephrata | $267.20 | $17.88 – $66.71 | 10 |
| WellSpan Gettysburg Hospital | Gettysburg | $280.60 | $17.88 – $66.71 | 9 |
| WellSpan Surgery & Rehabilitation Hospital | York PA 17403 | $280.60 | $17.88 – $66.71 | 9 |
| UPMC East | Monroeville | $301.60 | $12.53 – $301.60 | 13 |
| WellSpan Good Samaritan Hospital | Lebanon | $339.40 | $15.07 – $66.71 | 10 |
| UPMC St. Margaret | Pittsburgh | $748.00 | $12.53 – $51.08 | 4 |