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
$57
Average
$1.3k
Median
$86
High
$9.9k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 26.9× 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.
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15 hospital rates
iThe hospitals that file a Superior Healthplan 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 Central Texas Killeen, TX fee schedule · outpatient | 1 | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 4 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX fee schedule · inpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 5 | MEDICAL CITY DALLAS GARLAND, TX percent of total billed charges · outpatientfrom % of charges | 5 | $739 | $1.1k | $1.2k | 108% | — | $24 – $2.9k |
| 6 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $9.5k | $9.9k | $5.2k | 53% | — | $3.4k – $17.2k |
| 7 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 8 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX fee schedule · inpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 9 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 10 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX fee schedule · inpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 11 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 12 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX fee schedule · inpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 13 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 14 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX fee schedule · inpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 15 | THE WOMANS HOSPITAL OF TEXAS HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
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