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
OMADACYCLINE 100 MG INTRAVENOUS SOLR [142675]
Arlington, TX
See all hospitals reporting HCPCS J0121 →Price type
AMH Cath Labs LLC’s median price of $545 is 11054% above the median hospital's median price ($5), higher than 91% of the 1,234 hospitals reporting HCPCS J0121. 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, 33 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 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Humana medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Molina medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $141 | $141 | — | — | — | $141 – $141 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $499 | $499 | — | — | — | $499 – $499 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $592 | $592 | — | — | — | $592 – $592 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $665 | $665 | — | — | — | $665 – $665 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $790 | $790 | — | — | — | $790 – $790 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $797 | $797 | — | — | — | $797 – $797 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Apr 21, 2026
See Injection of omadacycline, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.