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
ADENOSINE 3 MG/ML INTRAVENOUS SOLN [12975]
Arlington, TX
See all hospitals reporting HCPCS J0153 →Price type
AMH Cath Labs LLC’s median price of $27 is 111% above the median hospital's median price ($13), higher than 62% of the 2,281 hospitals reporting HCPCS J0153. 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $19 | $16 | 89% | — | $3 – $41 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $19 | $16 | 89% | — | $3 – $41 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $16 | $19 | $17 | 89% | — | $3 – $43 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $17 | $20 | $18 | 89% | — | $3 – $44 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $17 | $20 | $18 | 89% | — | $3 – $45 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $60 | $72 | $64 | 89% | — | $10 – $159 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $71 | $85 | $76 | 89% | — | $12 – $189 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $79 | $96 | $85 | 89% | — | $13 – $212 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $89 | $108 | $96 | 89% | — | $15 – $238 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $94 | $114 | $101 | 89% | — | $16 – $252 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $94 | $114 | $101 | 89% | — | $16 – $252 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $95 | $115 | $102 | 89% | — | $16 – $254 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $120 | $145 | $129 | 89% | — | $20 – $319 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $120 | $145 | $129 | 89% | — | $20 – $320 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $121 | $146 | $130 | 89% | — | $20 – $322 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $121 | $146 | $130 | 89% | — | $20 – $322 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $128 | $155 | $138 | 89% | — | $21 – $342 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $150 | $181 | $161 | 89% | — | $25 – $400 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $150 | $181 | $161 | 89% | — | $25 – $400 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $162 | $196 | $174 | 89% | — | $27 – $432 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $162 | $196 | $174 | 89% | — | $27 – $432 |
Last updated: Apr 21, 2026
See Adenosine IV injection, 6 mg/2 mL pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.