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
pentostatin 10 mg Solr 1 each VIAL
Rapids, MN
See all hospitals reporting HCPCS J9268 →Price type
Allina Health Systems’s median price of $3.8k is 17% above the median hospital's median price ($3.3k), higher than 60% of the 1,513 hospitals reporting HCPCS J9268. 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $98 | 6% | — | $1.4k – $1.6k |
| 3 | Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $108 | 6% | — | $1.6k – $1.8k |
| 4 | Medicaid medicaid ma (m) facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | Aetna allina aetna medicare (m) facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 6 | Medicare medicare (m) facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | Medica medica medicare (m) facility · fee schedule · outpatient | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 9 | Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $171 | 6% | — | $2.5k – $2.9k |
| 10 | Bcbs Mn bc pmap (amu) facility · other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | $182 | 6% | — | $2.7k – $3.1k |
| 12 | UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | Bcbs Mn bc premier (m u) facility · other · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 14 | Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | $216 | 6% | — | $3.2k – $3.6k |
| 15 | Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | Bcbs Mn bc state health plan (mu) facility · other · outpatient | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 17 | Bcbs Mn bc high value/performance network (mu) facility · other · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 18 | Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | $265 | 6% | — | $3.9k – $4.5k |
| 19 | Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | $285 | 6% | — | $4.2k – $4.8k |
| 20 | Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | $340 | 6% | — | $5.0k – $5.7k |
| 21 | Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | $348 | 6% | — | $5.2k – $5.9k |
| 22 | Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | $364 | 6% | — | $5.4k – $6.1k |
| 23 | Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | $364 | 6% | — | $5.4k – $6.1k |
| 24 | Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | $383 | 6% | — | $5.7k – $6.4k |
| 25 | Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges | $6.1k | $6.1k | $389 | 6% | — | $5.8k – $6.5k |
Last updated: Jun 17, 2026
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