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
ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 20 MG/ML (2 %) INTRAVENOUS SOLN
Low
$4
Average
$691
Median
$640
High
$1.6k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 272.0× 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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24 hospital rates
iThe hospitals that file a Medicaid 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 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $786 | $786 | — | — | — | $786 – $786 |
| 3 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $545 | $545 | — | — | — | $545 – $545 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · both | 1 | $693 | $693 | — | — | — | $693 – $693 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · both | 2 | $693 | $739 | $65 | 9% | — | $693 – $832 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · both | 2 | $762 | $762 | $69 | 9% | — | $693 – $832 |
| 7 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $786 | $786 | — | — | — | $786 – $786 |
| 9 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 10 | Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 11 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $871 | $871 | — | — | — | $871 – $871 |
| 12 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient | 1 | $551 | $551 | — | — | — | $551 – $551 |
| 13 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 14 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $472 | $472 | $80 | 17% | — | $392 – $551 |
| 15 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 2 | $472 | $472 | $80 | 17% | — | $392 – $551 |
| 16 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 17 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 2 | $472 | $472 | $80 | 17% | — | $392 – $551 |
| 18 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $623 | $623 | — | — | — | $623 – $623 |
| 19 | NYU Langone Mineola, NY case rate · outpatient | 15 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | NYU Langone Brooklyn, NY case rate · outpatient | 15 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 21 | NYU Langone New York, NY case rate · outpatient | 15 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 22 | NYU Langone Hospital?Suffolk Patchogue, NY case rate · outpatient | 15 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 23 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS J0257 · Snapshot 20261111T120946Z-9134e7f7