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
$1
Average
$5.0k
Median
$92
High
$63.1k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
49 hospitals; the 90th percentile is 356.0× 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.
Filter by billing methodology
Filter by billing class
69 hospital rates
iThe hospitals that file a Medica 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 | Altru Hospital Grand Forks, ND facility · fee schedule · outpatient | 4 | $25 | $30 | $14 | 47% | — | $18 – $52 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · fee schedule · outpatient | 4 | $25 | $30 | $14 | 47% | — | $18 – $52 |
| 3 | Avera Behavioral Health Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Avera McKennan Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Avera Specialty Hospital Sioux Falls, SD fee schedule · outpatient | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 7 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38.2k | $30.6k | $13.2k | 43% | — | $7.7k – $38.2k |
| 9 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38.2k | $30.6k | $13.2k | 43% | — | $7.7k – $38.2k |
| 10 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · inpatientfrom % of charges | 1 | $38.2k | $30.6k | $13.2k | 43% | — | $7.7k – $38.2k |
| 11 | Children's Mercy Hospital Kansas Overland Park, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38.2k | $30.6k | $13.2k | 43% | — | $7.7k – $38.2k |
| 12 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 13 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 1 | $60 | $60 | — | — | — | $60 – $60 |
| 14 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $113 | $111 | $12 | 11% | — | $85 – $123 |
| 15 | Essentia Health Duluth Duluth, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 16 | Essentia Health Fargo 3000 32nd Ave S Fargo, ND facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 17 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $113 | $111 | $12 | 11% | — | $85 – $123 |
| 18 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $113 | $111 | $12 | 11% | — | $85 – $123 |
| 19 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $100 | $100 | $9 | 9% | — | $85 – $111 |
| 20 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $100 | $100 | $9 | 9% | — | $85 – $111 |
| 21 | Essentia Health St Marys Hospital-Superior 3500 Tower Ave Superior, WI facility · percent of total billed charges · inpatientfrom % of charges | 5 | $101 | $100 | $8 | 9% | — | $85 – $109 |
| 22 | Essentia Health St. Joseph's Medical Center Brainerd, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 23 | Essentia Health St. Mary's - Detroit Lakes 1027 Washington Ave. Detroit Lakes, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 24 | Essentia Health St. Mary's Children's Hospital Duluth, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Essentia Health St. Mary's Medical Center Duluth, MN facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Payers reporting HCPCS J7170 · Snapshot 20261111T120946Z-9134e7f7