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
$70
Average
$37.6k
Median
$44.0k
High
$80.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 108.9× 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
48 hospital rates
iThe hospitals that file a Phcs 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 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 2 | BETHESDA HOSPITAL BOYNTON BEACH, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 4 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 5 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 6 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $76.4k | $76.4k | — | — | — | $76.4k – $76.4k |
| 7 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · outpatient | 1 | $76.4k | $76.4k | — | — | — | $76.4k – $76.4k |
| 8 | DOCTORS HOSPITAL CORAL GABLES, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 9 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 10 | FISHERMENS HEALTH, INC MARATHON, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 11 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 12 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 13 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 14 | HOMESTEAD HOSPITAL Homestead, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 15 | Johnson Memorial Hospital Stafford Springs, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $55.8k | $80.0k | $75.9k | 95% | — | $6.3k – $235.9k |
| 16 | MARINERS HOSPITAL TAVERNIER, FL percent of total billed charges · bothfrom % of charges | 1 | $702 | $702 | — | — | — | $702 – $702 |
| 17 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $71 | $70 | $14 | 20% | — | $45 – $82 |
| 18 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $70 | $14 | 20% | — | $45 – $82 |
| 19 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $49.3k | $42.0k | $19.0k | 45% | — | $11.6k – $58.0k |
| 20 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49.3k | $42.0k | $19.0k | 45% | — | $11.6k – $58.0k |
| 21 | Morristown Medical Center Morristown, NJ percent of total billed charges · bothfrom % of charges | 1 | $23.6k | $23.6k | — | — | — | $23.6k – $23.6k |
| 22 | Mount Sinai Rehabilitation Hospital, Inc Hartford, CT facility · percent of total billed charges · bothfrom % of charges | 1 | $32.9k | $46.3k | $38.9k | 84% | — | $3.1k – $116.0k |
| 23 | Nationwide Children's Hospital Columbus, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $74.9k | $74.9k | $23.8k | 32% | — | $51.1k – $98.7k |
| 24 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
| 25 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43.7k | $46.6k | $32.2k | 69% | — | $8.7k – $87.4k |
← Payers reporting HCPCS J7170 · Snapshot 20261111T120946Z-9134e7f7