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
cidofovir 75 mg/mL Soln 5 mL VIAL
River Falls, WI
See all hospitals reporting HCPCS J0740 →Price type
Allina Health Systems’s median price of $852 is 24% above the median hospital's median price ($686), higher than 61% of the 1,659 hospitals reporting HCPCS J0740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 20 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 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $352 | $352 | — | — | — | $352 – $352 |
| 2 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $470 | $470 | — | — | — | $470 – $470 |
| 3 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 4 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 5 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 6 | Medicare medicare (r) facility · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 7 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $589 | $589 | — | — | — | $589 – $589 |
| 8 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $693 | $693 | — | — | — | $693 – $693 |
| 9 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $777 | $777 | — | — | — | $777 – $777 |
| 10 | Medica medica medicare (r) facility · fee schedule · outpatient | $777 | $777 | — | — | — | $777 – $777 |
| 11 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $783 | $783 | — | — | — | $783 – $783 |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $787 | $787 | — | — | — | $787 – $787 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jun 15, 2026
See Injection of cidofovir, 375 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.