Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Inj, teplizumab-mzwv, 5 mcg
Low
$35
Average
$15.4k
Median
$16.7k
High
$43.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 623.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina facility · case rate · outpatient · +2 other terms | 26 | $18.1k | $18.6k | $4.6k | 25% | — | $11.5k – $34.2k |
| 2 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 16 | $16.5k | $17.9k | $4.2k | 23% | — | $11.5k – $28.3k |
| 3 | Anthem facility · case rate · outpatient · +2 other terms | 15 | $16.4k | $17.9k | $4.2k | 23% | — | $11.1k – $27.8k |
| 4 | Caresource facility · case rate · outpatient | 15 | $16.7k | $17.9k | $4.1k | 23% | — | $11.1k – $28.3k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 13 | $133 | $101 | $43 | 42% | — | $36 – $158 |
| 6 | Optum facility · case rate · outpatient | 13 | $14.8k | $16.6k | $3.6k | 22% | — | $13.9k – $25.1k |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 8 | $165 | $170 | $47 | 28% | — | $99 – $280 |
| 8 | Aetna Better Health facility · case rate · outpatient | 6 | $18.3k | $18.3k | — | — | — | $18.3k – $18.3k |
| 9 | Amerihealth Caritas facility · case rate · outpatient · +1 other terms | 6 | $16.7k | $16.7k | — | — | — | $16.7k – $16.7k |
| 10 | Aetna facility · case rate · outpatient · +2 other terms | 5 | $18.3k | $21.0k | $6.4k | 31% | — | $15.2k – $34.2k |
| 11 | Humana facility · case rate · outpatient · +1 other terms | 5 | $15.2k | $15.8k | $745 | 5% | — | $15.2k – $16.7k |
| 12 | Sanford Health Plan fee schedule · outpatient · +1 other terms | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 13 | Medicaid facility · case rate · outpatient | 2 | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 14 | Wellmark facility · case rate · outpatient | 2 | $43.8k | $43.8k | $20.2k | 46% | — | $23.6k – $63.9k |
| 15 | Bcbs Id professional · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 16 | Cigna facility · fee schedule · outpatient | 1 | $45 | $45 | $4 | 8% | — | $41 – $50 |
| 17 | WellCare facility · case rate · outpatient | 1 | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
← Hospitals reporting HCPCS C9149 · Snapshot 20261113T090226Z-3ce6c0b8