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
ANTIHEMOLYTIC FACTOR 100 UNIT/ML (ALPHANATE) (WRAPPED)
Low
$1
Average
$131
Median
$1
High
$6.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
71 hospitals; the 90th percentile is 2.3× 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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82 hospital rates
iThe hospitals that file a Tricare 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 | Abington Memorial Hospital Abington, PA professional · fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Ascension Seton Luling, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Ascension Seton Burnet, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Ascension Seton Smithville, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Ascension Seton Bastrop, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Ascension Seton Austin, TX fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 10 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · both | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 14 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 1 | $2 | $2 | $0 | 4% | — | $2 – $2 |
| 15 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 16 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 17 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $48 | $48 | $18 | 37% | — | $30 – $66 |
| 18 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 19 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Jefferson Health - Northeast Langhorne, PA facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Jefferson Health - Northeast Philadelphia, PA facility · fee schedule · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
← Payers reporting HCPCS J7186 · Snapshot 20261111T120946Z-9134e7f7