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
$29
Average
$989
Median
$57
High
$16.0k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
278 hospitals; the 90th percentile is 62.7× 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
291 hospital rates
iThe hospitals that file a WellCare 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 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 2 | $60 | $60 | $1 | 2% | — | $59 – $62 |
| 2 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Agnesian Healthcare Inc. Fond Du Lac, WI fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 5 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Arkansas Childrens Hospital Little Rock, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 7 | Arkansas Childrens Northwest Springdale, AR facility · per diem · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 8 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 1 | $16.0k | $16.0k | — | — | — | $16.0k – $16.0k |
| 9 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 1 | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 10 | Bartow Regional Medical Center Bartow, FL facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 11 | Baycare Hospital Wesley Chapel Chapel, FL facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 14 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 15 | Bradley Medical Center Cleveland, TN facility · fee schedule · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 16 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | CHRISTUS Hospital - Orange Orange, TX fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 18 | CHRISTUS West Beaumont Beaumont, TX fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 19 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 20 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 21 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 22 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 23 | Carle BroMenn Medical Center Normal, IL case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 24 | Carle Eureka Hospital Eureka, IL case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 25 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
← Payers reporting HCPCS J7170 · Snapshot 20261111T120946Z-9134e7f7