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
AZTREONAM 2 GRAM INJECTION SOLR [12754]
Arlington, TX
See all hospitals reporting HCPCS J0457 →Price type
AMH Cath Labs LLC’s median price of $106 is 150% above the median hospital's median price ($42), higher than 70% of the 2,010 hospitals reporting HCPCS J0457. 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 | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $6 | 31% | — | $13 – $25 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $19 | $19 | $6 | 31% | — | $13 – $25 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $20 | $20 | $6 | 31% | — | $14 – $27 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $6 | 31% | — | $15 – $27 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $7 | 31% | — | $15 – $28 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $76 | $76 | $23 | 31% | — | $52 – $99 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $90 | $90 | $28 | 31% | — | $62 – $117 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $101 | $101 | $31 | 31% | — | $70 – $132 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $35 | 31% | — | $78 – $148 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $37 | 31% | — | $83 – $157 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $120 | $120 | $37 | 31% | — | $83 – $157 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $121 | $121 | $37 | 31% | — | $84 – $158 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $47 | 31% | — | $105 – $199 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $152 | $152 | $47 | 31% | — | $106 – $199 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $47 | 31% | — | $106 – $200 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $153 | $153 | $47 | 31% | — | $106 – $200 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $163 | $163 | $50 | 31% | — | $113 – $213 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $190 | $190 | $58 | 31% | — | $132 – $249 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $190 | $190 | $58 | 31% | — | $132 – $249 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $206 | $206 | $63 | 31% | — | $143 – $269 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $206 | $206 | $63 | 31% | — | $143 – $269 |
Last updated: Apr 21, 2026
See Aztreonam injection, 1 gram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.