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
Inj., emicizumab-kxwh 0.5 mg
Devils Lake, ND
See all hospitals reporting HCPCS J7170 →Price type
Altru Hospital Devils Lake’s median price of $58 is 15% below the median hospital's median price ($68), higher than 31% of the 1,245 hospitals reporting HCPCS J7170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 6 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $66 | $72 | $12 | 16% | — | $62 – $88 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $80 | $80 | $21 | 26% | — | $59 – $101 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
Last updated: Mar 1, 2026
See Emicizumab injection, 0.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.