ROMIPLOSTIM INJECTION

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.

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Original text from hospital filings

ROMIPLOSTIM 250 MCG SUBQ SOLR [93566]

Payers reporting HCPCS J2796

Payer pricing summary

Low

$82

Average

$2.6k

Median

$2.0k

High

$14.7k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	138	$140	$601	$2.0k	330%	—	$0 – $15.6k
2	Cigna fee schedule · outpatient · +11 other terms	99	$148	$1.2k	$3.8k	309%	—	$5 – $22.3k
3	Humana fee schedule · outpatient · +16 other terms	91	$511	$1.9k	$3.6k	194%	—	$0 – $22.0k
4	UnitedHealthcare fee schedule · outpatient · +17 other terms	90	$234	$2.9k	$5.2k	180%	—	$0 – $28.5k
5	Aetna fee schedule · outpatient · +19 other terms	70	$216	$3.3k	$5.9k	178%	—	$1 – $23.5k
6	Anthem facility · fee schedule · outpatient · +15 other terms	54	$244	$246	$307	125%	—	$91 – $2.4k
7	MultiPlan fee schedule · outpatient · +11 other terms	42	$1.1k	$6.6k	$8.6k	131%	—	$162 – $26.7k
8	Molina facility · case rate · outpatient · +16 other terms	40	$647	$811	$499	62%	—	$99 – $2.2k
9	Medica fee schedule · outpatient · +8 other terms	26	$921	$3.9k	$5.6k	143%	—	$158 – $21.1k
10	Regence professional · fee schedule · outpatient · +5 other terms	20	$91	$92	$2	2%	—	$91 – $101
11	Caresource facility · case rate · outpatient · +5 other terms	18	$1.2k	$1.0k	$630	61%	—	$99 – $2.2k
12	Healthpartners fee schedule · outpatient · +2 other terms	18	$121	$121	$3	2%	—	$118 – $123
13	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	17	$768	$658	$729	111%	—	$8 – $3.6k
14	Optum facility · case rate · outpatient · +5 other terms	13	$1.1k	$1.2k	$395	33%	—	$517 – $1.9k
15	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$86	$85	$28	32%	—	$44 – $105
16	Bcbs Nj fee schedule · outpatient	12	$102	$102	$1	1%	—	$101 – $104
17	Sanford Health Plan fee schedule · outpatient · +7 other terms	12	$7.2k	$4.9k	$7.8k	158%	—	$111 – $20.9k
18	Aetna Better Health fee schedule · outpatient · +5 other terms	11	$99	$104	$7	6%	—	$99 – $113
19	Phcs fee schedule · inpatient · +6 other terms	10	$4.2k	$4.9k	$789	16%	—	$4.2k – $5.8k
20	WellCare fee schedule · outpatient · +8 other terms	9	$3.6k	$3.3k	$2.6k	81%	—	$96 – $8.2k
21	Highmark facility · fee schedule · outpatient · +5 other terms	8	$95	$99	$14	14%	—	$92 – $145
22	Kaiser fee schedule · outpatient · +7 other terms	8	$420	$431	$119	28%	—	$252 – $713
23	Premera fee schedule · outpatient · +1 other terms	8	$146	$146	—	—	—	$146 – $146
24	Ucare fee schedule · outpatient · +6 other terms	8	$117	$117	—	—	—	$117 – $117
25	Amerihealth Caritas facility · case rate · outpatient · +5 other terms	7	$598	$606	$19	3%	—	$598 – $653

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