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
ICATIBANT ACETATE 30 MG/3 ML SOSY per 1 mg
Low
$123
Average
$959
Median
$130
High
$6.2k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 27.5× 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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25 hospital rates
iThe hospitals that file a Medicare 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 2 | $116 | $116 | $23 | 20% | — | $93 – $139 |
| 3 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 4 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.8k | $621 | 35% | — | $1.3k – $2.7k |
| 5 | COMMONSPIRIT KANSAS, INC. Ulysses, KS percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.8k | $1.3k | 35% | — | $2.7k – $5.7k |
| 6 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 2 | $178 | $178 | $27 | 15% | — | $152 – $205 |
| 7 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $12.4k | $12.4k | — | — | — | $12.4k – $12.4k |
| 8 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $123 | $123 | — | — | — | $123 – $123 |
| 9 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 10 | Hackensack Meridian Mountainside Medical Center Montclair, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 11 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 12 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 2 | $178 | $178 | $27 | 15% | — | $152 – $205 |
| 13 | McLeod Health Dillon, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 14 | McLeod Health Cheraw, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 15 | McLeod Health Manning, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 16 | McLeod Health Florence, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 17 | McLeod Health Beach, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 18 | McLeod Health Loris, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 19 | McLeod Health River, SC fee schedule · both | 1 | $130 | $130 | — | — | — | $130 – $130 |
| 20 | NYU Langone Mineola, NY fee schedule · outpatient | 61 | $125 | $125 | — | — | — | $125 – $125 |
| 21 | NYU Langone Brooklyn, NY fee schedule · outpatient | 61 | $125 | $125 | — | — | — | $125 – $125 |
| 22 | NYU Langone New York, NY fee schedule · outpatient | 61 | $125 | $125 | — | — | — | $125 – $125 |
| 23 | NYU Langone Hospital?Suffolk Patchogue, NY fee schedule · outpatient | 61 | $125 | $125 | — | — | — | $125 – $125 |
| 24 | Townsen Memorial Hospital Houston, TX fee schedule · outpatient | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 25 | University of Illinois Hospital & Clinics Chicago, IL facility · other · outpatient | 1 | $130 | $130 | — | — | — | $130 – $130 |
← Payers reporting HCPCS J1744 · Snapshot 20261111T120946Z-9134e7f7