Inj glofitamab gxbm- 2.5 mg

Reported by 91 hospitals in the network under the fee schedule methodology.

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Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$2.7k

Average

$6.3k

Median

$3.1k

High

$52.1k

#	Hospital	Location
1	Virginia Mason Medical Center	Seattle, WA	$2.8k	$3.8k	$2.4k	—	$1.9k	$9.8k
2	IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center	Murray, UT	$2.8k	$2.9k	$164	—	$2.8k	$3.2k
3	IHC Health Services Inc., DBA Intermountain Health Utah Valley Hospital	Provo, UT	$3.0k	$2.9k	$280	—	$2.4k	$3.3k
4	IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital	Ogden, UT	$3.0k	$3.0k	$220	—	$2.4k	$3.3k
5	IHC Health Services Inc., DBA Intermountain Health St George Regional Hospital	St. George, UT	$2.8k	$2.9k	$129	—	$2.7k	$3.2k
6	IHC Health Services Inc., DBA Intermountain Health LDS Hospital	Salt Lake City, UT	$3.0k	$3.0k	$161	—	$2.7k	$3.3k
7	Scl Health - Montana, Dba Intermountain Health St. Vincent Healthcare	Billings, MT	$6.8k	$5.7k	$1.7k	—	$2.8k	$8.4k
8	Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph Hospital	DENVER, CO	$4.5k	$4.5k	$1.3k	—	$2.7k	$7.2k
9	IHC Health Services Inc., DBA Intermountain Health Logan Regional Hospital	Logan, UT	$2.8k	$2.9k	$225	—	$2.4k	$3.2k
10	St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional Hospital	JUNCTION, CO	$5.1k	$4.4k	$1.8k	—	$2.8k	$9.1k

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