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
BCG live 50 mg Susr 1 each VIAL
River Falls, WI
See all hospitals reporting HCPCS J9030 →Price type
Allina Health Systems’s median price of $409 is 7301% above the median hospital's median price ($6), higher than 90% of the 1,541 hospitals reporting HCPCS J9030. 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 | Medicaid medicaid ma (r) facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Aetna allina aetna medicare (r) facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Medicare medicare (r) facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Bcbs Mn bc pmap (r) facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Bcbs Mn bc premier (r) facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 9 | Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 10 | Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 11 | Medica medica medicare (r) facility · fee schedule · outpatient | $384 | $384 | — | — | — | $384 – $384 |
| 12 | Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges | $389 | $389 | — | — | — | $389 – $389 |
| 13 | Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges | $530 | $530 | — | — | — | $530 – $530 |
| 14 | Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges | $535 | $535 | — | — | — | $535 – $535 |
| 15 | Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges | $572 | $572 | — | — | — | $572 – $572 |
| 16 | Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges | $578 | $578 | — | — | — | $578 – $578 |
| 17 | First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges | $726 | $726 | — | — | — | $726 – $726 |
| 18 | First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges | $726 | $726 | — | — | — | $726 – $726 |
| 19 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges | $731 | $731 | — | — | — | $731 – $731 |
| 20 | Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges | $738 | $738 | — | — | — | $738 – $738 |
Last updated: Jun 15, 2026
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