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 GRAM/50 ML (2 %) INTRAVENOUS SOLN [108371]
Arlington, TX
See all hospitals reporting HCPCS J0257 →Price type
AMH Cath Labs LLC’s median price of $21.3k is 305494% above the median hospital's median price ($7), higher than 100% of the 1,358 hospitals reporting HCPCS J0257. 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 | $6 | $6 | — | — | — | $6 – $6 |
| 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 | $11 | $11 | — | — | — | $11 – $11 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $19.5k | $19.5k | — | — | — | $19.5k – $19.5k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $26.0k | $26.0k | — | — | — | $26.0k – $26.0k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $30.9k | $30.9k | — | — | — | $30.9k – $30.9k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $31.2k | $31.2k | — | — | — | $31.2k – $31.2k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $39.2k | $39.2k | — | — | — | $39.2k – $39.2k |
Last updated: Apr 21, 2026
See Alpha-1 proteinase inhibitor injection, 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.