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 (1 mg/mL initial conc
Rapids, MN
See all hospitals reporting HCPCS J9203 →Price type
Allina Health Systems’s median price of $3.3k is 786% above the median hospital's median price ($367), higher than 76% of the 1,554 hospitals reporting HCPCS J9203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare united healthcare (um) facility · case rate · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 3 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 4 | Medicare medicare (m) facility · fee schedule · outpatient | $240 | $240 | — | — | — | $240 – $240 |
| 5 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 6 | Medica medica medicare (m) facility · fee schedule · outpatient | $250 | $250 | — | — | — | $250 – $250 |
| 7 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $252 | $252 | — | — | — | $252 – $252 |
| 8 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $261 | $261 | — | — | — | $261 – $261 |
| 9 | Bcbs Mn bc premier (m u) facility · other · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 10 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $331 | $331 | — | — | — | $331 – $331 |
| 11 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $338 | $338 | — | — | — | $338 – $338 |
| 12 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $355 | $355 | — | — | — | $355 – $355 |
| 13 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 14 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10.2k | $10.2k | — | — | — | $10.2k – $10.2k |
| 16 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 17 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 18 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 19 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 20 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $20.2k | $20.2k | — | — | — | $20.2k – $20.2k |
| 21 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 22 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 23 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 24 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $22.8k | $22.8k | — | — | — | $22.8k – $22.8k |
| 25 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
Last updated: Jun 17, 2026
See Gemtuzumab ozogamicin injection, per 0.1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.