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
PR INJ, TEBENTAFUSP-TEBN, 1 MCG
Low
$199
Average
$6.3k
Median
$246
High
$23.8k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 115.0× 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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67 hospital rates
iThe hospitals that file a Regence 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 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 3 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 4 | Central Community Hospital Elkader, IA facility · fee schedule · both | 1 | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 5 | Clallam County Public Hospital District 2 DBA Olympic Medical Center Port Angeles, WA fee schedule · outpatient | 1 | $266 | $266 | — | — | — | $266 – $266 |
| 6 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 7 | GOOD SAMARITAN HOSPITAL CORVALLIS Corvallis, OR facility · fee schedule · outpatient | 1 | $459 | $459 | — | — | — | $459 – $459 |
| 8 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · outpatient | 1 | $497 | $497 | — | — | — | $497 – $497 |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID professional · fee schedule · outpatient | 1 | $267 | $267 | — | — | — | $267 – $267 |
| 10 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 11 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 12 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT facility · fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 14 | IHC Health Services Inc., DBA Intermountain Health Bear River Valley Hospital Tremonton, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 15 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · fee schedule · outpatient | 1 | $236 | $236 | — | — | — | $236 – $236 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 18 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 19 | IHC Health Services Inc., DBA Intermountain Health Fillmore Community Hospital Fillmore, UT professional · fee schedule · outpatient | 2 | $199 | $199 | — | — | — | $199 – $199 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Heber Valley Hospital Heber City, UT professional · fee schedule · outpatient | 1 | $215 | $215 | — | — | — | $215 – $215 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · fee schedule · outpatient | 1 | $222 | $222 | — | — | — | $222 – $222 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 23 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
| 24 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT professional · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · fee schedule · outpatient | 1 | $231 | $231 | — | — | — | $231 – $231 |
← Payers reporting HCPCS J9274 · Snapshot 20261111T120946Z-9134e7f7