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.
Generation details were not recorded for this description.
Original text from hospital filings
ROMIPLOSTIM 250 MCG SUBQ SOLR [93566]
Low
$82
Average
$953
Median
$166
High
$5.2k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 23.0× 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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12 hospital rates
iThe hospitals that file a Ambetter 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 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $1.6k | $2.8k | 174% | — | $77 – $8.2k |
| 2 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $2.1k | $2.3k | $742 | 33% | — | $1.5k – $3.5k |
| 4 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 5 | Deaconess Hospital, Inc Newburgh, IN facility · case rate · outpatient | 1 | $154 | $154 | — | — | — | $154 – $154 |
| 6 | Holy Name Teaneck, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 8 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $5.2k | $2.7k | 52% | — | $2.3k – $8.8k |
| 9 | Sarasota Memorial Hospital Sarasota, FL fee schedule · outpatient | 1 | $272 | $272 | — | — | — | $272 – $272 |
| 10 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX fee schedule · both | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 11 | University of Florida Health Gainesville, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 12 | Wellstar Windy Hill Hospital Marietta, GA facility · fee schedule · outpatient | 1 | $178 | $178 | — | — | — | $178 – $178 |
← Payers reporting HCPCS J2796 · Snapshot 20261111T120946Z-9134e7f7