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
ALPHA-1 PROTEINASE INHIB.(HUM) 1,000 MG (+/-)/20 ML INTRAVENOUS SOLN [139617]
Arlington, TX
See all hospitals reporting HCPCS J0256 →Price type
AMH Cath Labs LLC’s median price of $4.0k is 53612% above the median hospital's median price ($7), higher than 99% of the 1,759 hospitals reporting HCPCS J0256. 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Humana medicare advantage case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Molina medicare advantage case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $944 | $944 | — | — | — | $944 – $944 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $992 | $992 | — | — | — | $992 – $992 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
Last updated: Apr 21, 2026
See Alpha-1 proteinase inhibitor injection, per 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.