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
ADALIMUMAB 40 MG/0.4 ML SUBCUTANEOUS SYRINGE KIT
Low
$46
Average
$906
Median
$96
High
$10.6k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 74.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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54 hospital rates
iThe hospitals that file a Devoted rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 2 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 3 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 4 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Christus Health Southeast Texas Port Arthur, TX fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 8 | Cocke County HMA, LLC Newport, TN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 9 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Jefferson County HMA LLC Jefferson City, TN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 11 | Longs Peak Hospital Longmont, CO fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 12 | MARYMOUNT HOSPITAL INC Garfield Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $10.6k | $4.8k | 45% | — | $7.5k – $20.0k |
| 13 | MID-VALLEY HEALTHCARE INC Lebanon, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 14 | Medical Center of the Rockies Loveland, CO fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 15 | Metro Knoxville HMA LLC Powell, TN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 16 | Metro Knoxville HMA LLC Knoxville, TN facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Missouri Baptist Sullivan Hospital Sullivan, MO percent of total billed charges · bothfrom % of charges | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Natchez Hospital Company LLC Natchez, MS facility · fee schedule · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
| 19 | Poudre Valley Health Care, Inc Fort Collins, CO fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 20 | SAMARITAN NORTH LINCOLN HOSPITAL Lincoln City, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 21 | SAMARITAN PACIFIC HEALTH SERVICES INC Newport, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 22 | SID Peterson Memorial Hospital Kerrville, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | $135 | 6% | — | $2.0k – $2.2k |
| 23 | SID Peterson Memorial Hospital Kerrville, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | $135 | 6% | — | $2.0k – $2.2k |
| 24 | Santa Rosa Emergency Center - Alon San Antonio, TX fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 25 | Santa Rosa Emergency Center - Creekside New Braunfels, TX fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
← Payers reporting HCPCS J0139 · Snapshot 20261111T120946Z-9134e7f7