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
GOLIMUMAB 12.5 MG/ML INTRAVENOUS SOLUTION
Low
$9
Average
$1.4k
Median
$12
High
$15.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
151 hospitals; the 90th percentile is 553.5× 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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164 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 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $11 | $11 | — | — | 85 | $11 – $11 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $11 | $11 | — | — | 85 | $11 – $11 |
| 3 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $11 | $11 | — | — | 20 | $11 – $11 |
| 4 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 6 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 12 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 13 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 14 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $24 | $24 | — | — | — | $24 – $24 |
| 15 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $2.5k | $3.0k | $919 | 30% | — | $2.5k – $4.6k |
| 16 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Boston Medical Center Boston, MA other · both | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 20 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | CentraState Medical Center Freehold Township, NJ other · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 22 | CentraState Medical Center Freehold Township, NJ other · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 23 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Chilton Medical Center Pompton Plains, NJ other · both | 2 | $11 | $11 | — | — | — | $11 – $11 |
| 25 | Chilton Medical Center Pompton Plains, NJ other · outpatient | 2 | $11 | $11 | — | — | — | $11 – $11 |
← Payers reporting HCPCS J1602 · Snapshot 20261111T120946Z-9134e7f7