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
BELIMUMAB 400 MG INTRAVENOUS SOLR [110118]
Arlington, TX
See all hospitals reporting HCPCS J0490 →Price type
AMH Cath Labs LLC’s median price of $860 is 771% above the median hospital's median price ($99), higher than 75% of the 1,767 hospitals reporting HCPCS J0490. 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 | $56 | $56 | — | — | — | $56 – $56 |
| 2 | Humana medicare advantage case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 4 | Molina medicare advantage case rate · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $59 | $59 | — | — | — | $59 – $59 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 14 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $390 | $390 | $210 | 54% | — | $180 – $600 |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $390 | $390 | $210 | 54% | — | $180 – $600 |
| 16 | Blue Cross Blue Shield traditional fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $410 | $410 | $221 | 54% | — | $189 – $631 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $421 | $421 | $227 | 54% | — | $194 – $648 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $429 | $429 | $231 | 54% | — | $198 – $660 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $816 | 54% | — | $700 – $2.3k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | $969 | 54% | — | $831 – $2.8k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | $1.1k | 54% | — | $933 – $3.1k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 54% | — | $1.1k – $3.7k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.3k | 54% | — | $1.1k – $3.7k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | $1.6k | 54% | — | $1.4k – $4.7k |
Last updated: Apr 21, 2026
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