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
Inj, fosdenopterin, 0.1mg
Low
$20
Average
$26
Median
$22
High
$38
Each hospital's average Oscar rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 1.8× 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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11 hospital rates
iThe hospitals that file a Oscar 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 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $22 | $22 | $5 | 21% | — | $17 – $26 |
| 2 | Grady Memorial Hospital Atlanta, GA facility · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 3 | Ingalls Memorial Hospital Harvey, IL fee schedule · outpatient | 1 | $20 | $21 | $3 | 13% | — | $19 – $25 |
| 4 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $22 | $22 | $5 | 21% | — | $17 – $26 |
| 5 | Montefiore Medical Center Bronx, NY fee schedule · outpatient | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 6 | OHI West, Inc. Pinellas Park, FL fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 7 | SSM-SLUH, Inc. Saint Louis, MO fee schedule · outpatient | 1 | $20 | $20 | $1 | 4% | — | $20 – $21 |
| 8 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · fee schedule · outpatient | 1 | $22 | $22 | $5 | 21% | — | $17 – $26 |
| 9 | The University of Chicago Medical Center Chicago, IL fee schedule · outpatient | 1 | $20 | $22 | $2 | 10% | — | $20 – $25 |
| 10 | University of Cincinnati Medical Center, LLC Cincinnati, OH fee schedule · outpatient | 1 | $32 | $38 | $9 | 23% | — | $32 – $51 |
| 11 | West Chester Hospital, LLC West Chester, OH fee schedule · outpatient | 1 | $32 | $38 | $9 | 23% | — | $32 – $50 |
← Payers reporting HCPCS J1809 · Snapshot 20261113T090226Z-3ce6c0b8