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
EMICIZUMAB-KXWH 30 MG/ML SUBCU SOLN
Low
$51
Average
$274
Median
$56
High
$9.0k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 1.1× 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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119 hospital rates
iThe hospitals that file a Devoted 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 | Adventhealth Redmond Rome, GA fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 2 | Boulder Community Health Lafayette, CO facility · case rate · outpatient | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 3 | Bryn Mawr Rehabilitation Hospital Malvern, PA facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 4 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 6 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 12 | CATHOLIC HEALTH INITIATIVES COLORADO Frisco, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 13 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 15 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · inpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $55 | $55 | — | — | — | $55 – $55 |
| 17 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 18 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 24 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Christus Health Southeast Texas Beaumont, TX fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting HCPCS J7170 · Snapshot 20261111T120946Z-9134e7f7