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
GEMTUZUMAB OZOGAMICIN 4.5 MG/4.5ML IV (WET VIAL)
Low
$126
Average
$8.3k
Median
$6.1k
High
$43.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
62 payers; the 90th percentile is 79.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +23 other terms | 355 | $350 | $2.1k | $7.7k | 369% | 1–10 | $9 – $60.6k |
| 2 | UnitedHealthcare fee schedule · outpatient · +26 other terms | 601 | $359 | $981 | $5.2k | 530% | — | $1 – $99.4k |
| 3 | Aetna fee schedule · outpatient · +23 other terms | 426 | $277 | $3.8k | $13.3k | 351% | — | $1 – $123.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +27 other terms | 362 | $361 | $904 | $4.0k | 447% | — | $1 – $69.7k |
| 5 | Humana fee schedule · outpatient · +20 other terms | 361 | $237 | $2.8k | $11.6k | 416% | — | $1 – $136.8k |
| 6 | Molina fee schedule · outpatient · +24 other terms | 135 | $349 | $1.5k | $4.5k | 298% | — | $1 – $41.9k |
| 7 | WellCare fee schedule · outpatient · +15 other terms | 130 | $241 | $367 | $1.1k | 294% | — | $219 – $14.4k |
| 8 | Anthem fee schedule · outpatient · +23 other terms | 117 | $315 | $354 | $254 | 72% | — | $191 – $1.8k |
| 9 | Ambetter facility · fee schedule · outpatient · +15 other terms | 80 | $432 | $889 | $3.0k | 332% | — | $233 – $20.6k |
| 10 | Caresource fee schedule · outpatient · +16 other terms | 79 | $278 | $823 | $2.4k | 295% | — | $1 – $14.4k |
| 11 | Kaiser fee schedule · outpatient · +18 other terms | 73 | $368 | $3.2k | $9.6k | 297% | — | $192 – $72.7k |
| 12 | Devoted fee schedule · outpatient · +13 other terms | 62 | $237 | $238 | $12 | 5% | — | $215 – $258 |
| 13 | Highmark facility · fee schedule · outpatient · +15 other terms | 59 | $337 | $384 | $209 | 54% | — | $130 – $1.1k |
| 14 | MultiPlan fee schedule · outpatient · +15 other terms | 41 | $29.3k | $33.2k | $38.2k | 115% | — | $237 – $136.8k |
| 15 | Optum fee schedule · outpatient · +19 other terms | 41 | $237 | $10.5k | $17.0k | 162% | — | $210 – $59.5k |
| 16 | Oscar facility · fee schedule · outpatient · +15 other terms | 34 | $303 | $315 | $64 | 20% | — | $240 – $438 |
| 17 | Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms | 33 | $246 | $1.1k | $3.8k | 339% | — | $235 – $23.9k |
| 18 | Medicare fee schedule · outpatient · +11 other terms | 33 | $232 | $248 | $112 | 45% | — | $209 – $1.1k |
| 19 | Bcbs Tx fee schedule · outpatient · +1 other terms | 31 | $743 | $689 | $297 | 43% | — | $219 – $1.3k |
| 20 | Clover fee schedule · outpatient · +7 other terms | 29 | $258 | $379 | $302 | 80% | — | $224 – $1.1k |
| 21 | Regence facility · fee schedule · both · +17 other terms | 28 | $11.7k | $15.2k | $6.4k | 42% | — | $10.8k – $35.7k |
| 22 | Tricare facility · fee schedule · outpatient · +14 other terms | 28 | $240 | $11.0k | $16.3k | 148% | — | $228 – $50.4k |
| 23 | Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms | 27 | $276 | $276 | $61 | 22% | — | $216 – $396 |
| 24 | Carefirst facility · fee schedule · both · +9 other terms | 27 | $11.7k | $15.0k | $6.5k | 43% | — | $10.8k – $35.7k |
| 25 | Excellus facility · fee schedule · both · +7 other terms | 27 | $11.7k | $15.0k | $6.5k | 43% | — | $10.8k – $35.7k |
← Hospitals reporting HCPCS J9203 · Snapshot 20261111T120946Z-9134e7f7