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
$0
Average
$366
Median
$6
High
$15.0k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 201.5× 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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86 hospital rates
iThe hospitals that file a Tricare 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 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 3 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 8 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $29 | $30 | $2 | 8% | — | $29 – $35 |
| 9 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 10 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Eisenhower Medical Center Rancho Mirage, CA other · both | 3 | $6 | $6 | — | — | — | $6 – $6 |
| 12 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 13 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 14 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 15 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 16 | HSA CGH LLC Coral Gables, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $1.1k | 99% | — | $7 – $2.2k |
| 17 | HSA PGH LLC Hialeah, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $1.1k | 99% | — | $7 – $2.2k |
| 18 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 19 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 20 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 21 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 22 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 23 | John Muir Health Walnut Creek, CA other · both | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 24 | Kaleida Health Buffalo, NY fee schedule · outpatient | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 25 | Kennedy University Hospital, Inc Turnersville, NJ facility · fee schedule · inpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
← Payers reporting HCPCS J0257 · Snapshot 20261111T120946Z-9134e7f7