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
$49
Average
$858
Median
$148
High
$10.4k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 7.7× 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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64 hospital rates
iThe hospitals that file a Highmark 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 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $116 | $130 | $46 | 35% | — | $59 – $203 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 3 | $155 | $154 | $47 | 31% | — | $90 – $215 |
| 3 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $112 | $127 | $43 | 34% | — | $59 – $193 |
| 4 | Children's Hospital of Philadelphia, The Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $10.8k | $10.4k | $4.8k | 46% | — | $5.9k – $21.5k |
| 5 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 2 | $122 | $135 | $48 | 35% | — | $91 – $206 |
| 6 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 3 | $234 | $332 | $138 | 42% | — | $234 – $527 |
| 7 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 17 | $126 | $143 | $58 | 40% | — | $74 – $220 |
| 8 | Geisinger St Luke's Hospital - Orwigsburg Campus Orwigsburg, PA facility · fee schedule · outpatient | 2 | $179 | $179 | $86 | 48% | — | $93 – $265 |
| 9 | JEFFERSON REGIONAL MEDICAL CENTER JEFFERSON HILLS, PA fee schedule · outpatient | 19 | $116 | $118 | $36 | 30% | — | $50 – $176 |
| 10 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 2 | $5.2k | $6.2k | $4.5k | 72% | — | $1.6k – $12.7k |
| 11 | Penn State Health Milton S. Hershey Medical Center Hershey, PA fee schedule · both | 1 | $409 | $426 | $64 | 15% | — | $358 – $511 |
| 12 | SAINT VINCENT HEALTH CENTER ERIE, PA fee schedule · outpatient | 20 | $109 | $122 | $38 | 31% | — | $53 – $178 |
| 13 | STONEWALL JACKSON HOSPITAL Weston, WV fee schedule · outpatient | 1 | $408 | $416 | $12 | 3% | — | $408 – $434 |
| 14 | St Luke's Hospital - Allentown Campus Allentown, PA facility · fee schedule · outpatient | 4 | $118 | $156 | $84 | 54% | — | $92 – $298 |
| 15 | St Luke's Hospital - Allentown Campus Allentown, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | St Luke's Hospital - Anderson Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · fee schedule · outpatient | 4 | $118 | $156 | $84 | 54% | — | $92 – $298 |
| 18 | St Luke's Hospital - Bethlehem Campus Bethlehem, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · fee schedule · outpatient | 3 | $93 | $147 | $78 | 53% | — | $92 – $258 |
| 20 | St Luke's Hospital - Carbon Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | St Luke's Hospital - Easton Campus Easton, PA facility · fee schedule · outpatient | 3 | $93 | $201 | $153 | 76% | — | $92 – $417 |
| 22 | St Luke's Hospital - Easton Campus Easton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 23 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · fee schedule · outpatient | 4 | $118 | $156 | $84 | 54% | — | $92 – $298 |
| 24 | St Luke's Hospital - Lehighton Campus Lehighton, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 25 | St Luke's Hospital - Miners Campus Coaldale, PA facility · fee schedule · outpatient | 3 | $93 | $146 | $76 | 52% | — | $92 – $253 |
← Payers reporting HCPCS J0139 · Snapshot 20261111T120946Z-9134e7f7