Pemetrexed injection (Pemfexy), per 10 mg

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pemfexy

Payers reporting HCPCS J9304

Payer pricing summary

Low

Average

$1.3k

Median

$293

High

$17.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +17 other terms	568	$66	$220	$1.2k	557%	—	$7 – $18.0k
2	Aetna fee schedule · outpatient · +16 other terms	370	$53	$115	$505	440%	—	$8 – $6.5k
3	Cigna fee schedule · outpatient · +14 other terms	329	$75	$130	$202	156%	—	$8 – $4.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	318	$81	$234	$1.3k	536%	—	$0 – $17.4k
5	Humana fee schedule · outpatient · +16 other terms	316	$46	$218	$1.1k	517%	—	$8 – $11.2k
6	Molina fee schedule · outpatient · +13 other terms	127	$57	$412	$1.7k	405%	—	$6 – $17.0k
7	WellCare fee schedule · outpatient · +10 other terms	121	$49	$87	$416	477%	—	$8 – $4.8k
8	Anthem fee schedule · outpatient · +13 other terms	105	$61	$154	$705	459%	—	$8 – $6.5k
9	Caresource fee schedule · outpatient · +8 other terms	68	$59	$180	$1.1k	622%	—	$8 – $10.4k
10	Devoted fee schedule · outpatient · +7 other terms	67	$47	$102	$507	498%	—	$42 – $4.9k
11	Kaiser fee schedule · outpatient · +10 other terms	62	$45	$65	$103	159%	—	$6 – $610
12	Ambetter facility · fee schedule · outpatient · +7 other terms	52	$76	$78	$43	55%	—	$10 – $134
13	MultiPlan fee schedule · outpatient · +10 other terms	33	$156	$3.6k	$6.7k	187%	—	$53 – $18.0k
14	Optum fee schedule · outpatient · +8 other terms	33	$45	$56	$22	39%	—	$41 – $115
15	Bcbs Tx fee schedule · outpatient · +1 other terms	31	$266	$247	$115	47%	—	$49 – $480
16	Clover fee schedule · outpatient · +3 other terms	29	$52	$50	$8	15%	—	$40 – $62
17	Medica fee schedule · outpatient · +10 other terms	28	$141	$2.9k	$5.9k	201%	—	$48 – $17.6k
18	Oscar facility · fee schedule · outpatient · +7 other terms	25	$63	$60	$23	39%	—	$11 – $94
19	Medicare fee schedule · outpatient · +6 other terms	24	$45	$44	$5	12%	—	$39 – $74
20	Aetna Better Health fee schedule · outpatient · +7 other terms	23	$46	$54	$12	22%	—	$42 – $73
21	Highmark facility · fee schedule · outpatient · +8 other terms	22	$73	$82	$45	55%	—	$35 – $260
22	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$46	$80	$72	89%	—	$4 – $225
23	Regence facility · fee schedule · outpatient · +5 other terms	21	$42	$58	$41	70%	—	$39 – $198
24	Healthpartners fee schedule · outpatient · +1 other terms	19	$63	$61	$9	15%	—	$8 – $64
25	Tricare fee schedule · outpatient · +5 other terms	16	$43	$182	$213	117%	—	$8 – $497

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