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
ACETAMINOPHEN 10 MG/ML NEONATAL INTRAVENOUS SOLN [300637]
Arlington, TX
See all hospitals reporting HCPCS J0131 →Price type
AMH Cath Labs LLC’s median price of $86 is 4041% above the median hospital's median price ($2), higher than 89% of the 1,916 hospitals reporting HCPCS J0131. 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, 25 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 hmo fee schedule · outpatient | $0.61 | $0.61 | $0.61 – $0.61 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $0.63 | $0.63 | $0.63 – $0.63 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $0.68 | $0.68 | $0.68 – $0.68 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $2.79 | $2.79 | $2.79 – $2.79 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $14.01 | $14.01 | $11.58 – $16.43 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $14.01 | $14.01 | $11.58 – $16.43 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $14.72 | $14.72 | $12.17 – $17.26 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $15.13 | $15.13 | $12.51 – $17.74 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $15.41 | $15.41 | $12.74 – $18.07 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $54.42 | $54.42 | $45.00 – $63.83 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $64.62 | $64.62 | $53.44 – $75.80 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $72.55 | $72.55 | $59.99 – $85.10 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $81.40 | $81.40 | $67.31 – $95.48 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $86.16 | $86.16 | $71.25 – $101.07 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $86.24 | $86.24 | $71.32 – $101.16 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $87.00 | $87.00 | $71.94 – $102.05 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $109.38 | $109.38 | $90.45 – $128.30 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $109.69 | $109.69 | $90.71 – $128.67 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $110.32 | $110.32 | $91.23 – $129.40 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $110.32 | $110.32 | $91.23 – $129.40 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $117.24 | $117.24 | $96.95 – $137.53 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $136.91 | $136.91 | $113.22 – $160.60 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $136.91 | $136.91 | $113.22 – $160.60 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $148.09 | $148.09 | $122.46 – $173.71 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $148.09 | $148.09 | $122.46 – $173.71 |
Last updated: Apr 21, 2026
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