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
DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION
Low
$4
Average
$378
Median
$6
High
$2.4k
Each hospital's average Amerihealth Caritas rate, under the methodology and billing class chosen below.
52 hospitals; the 90th percentile is 259.4× 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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65 hospital rates
iThe hospitals that file a Amerihealth Caritas 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 1 | $351 | $351 | — | — | — | $351 – $351 |
| 3 | CentraState Medical Center Freehold Township, NJ other · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | CentraState Medical Center Freehold Township, NJ other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Cheshire Medical Center Keene, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 6 | Chilton Medical Center Pompton Plains, NJ other · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 8 | Hackettstown Medical Center Hackettstown, NJ other · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Hackettstown Medical Center Hackettstown, NJ other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Independence Health System Frick Hospital Mt Plesant, PA fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Independence Health System Latrobe Area Hospital Latrobe, PA fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Independence Health System Westmoreland Regional Hospital Greeensburg, PA fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Lancaster General Health Lancaster, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $276 | — | — | — | $276 – $276 |
| 20 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 24 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 25 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $7 | — | — | — | $7 – $7 |
← Payers reporting HCPCS J0175 · Snapshot 20261111T120946Z-9134e7f7