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
ERAVACYCLINE 50 MG INTRAVENOUS SOLR [141975]
Arlington, TX
See all hospitals reporting HCPCS J0122 →Price type
AMH Cath Labs LLC’s median price of $118 is 5592% above the median hospital's median price ($2), higher than 80% of the 1,400 hospitals reporting HCPCS J0122. 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 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Humana medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Molina medicare advantage case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Blue Cross Blue Shield traditional fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | $7 | 25% | — | $21 – $35 |
| 14 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $28 | $28 | $7 | 25% | — | $21 – $35 |
| 15 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $30 | $30 | $7 | 25% | — | $22 – $37 |
| 16 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $31 | $31 | $8 | 25% | — | $23 – $38 |
| 17 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $31 | $31 | $8 | 25% | — | $23 – $39 |
| 18 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $110 | $110 | $27 | 25% | — | $83 – $137 |
| 19 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $131 | $131 | $32 | 25% | — | $98 – $163 |
| 20 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $147 | $147 | $36 | 25% | — | $111 – $183 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $164 | $164 | $40 | 25% | — | $124 – $205 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $43 | 25% | — | $131 – $217 |
| 23 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $174 | $174 | $43 | 25% | — | $131 – $217 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $176 | $176 | $43 | 25% | — | $133 – $219 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $221 | $221 | $54 | 25% | — | $167 – $275 |
Last updated: Apr 21, 2026
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