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
PENICILLIN G BENZATHIN,PROCAIN 1,200,000 UNIT/ 2 ML(900K/300K) INTRAMUSC SYRG [17299]
Arlington, TX
See all hospitals reporting HCPCS J0558 →Price type
AMH Cath Labs LLC’s median price of $301 is 1088% above the median hospital's median price ($25), higher than 87% of the 1,620 hospitals reporting HCPCS J0558. 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 hmo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 5 | Humana medicare advantage case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 6 | Humana medicare advantage ppo case rate · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 7 | Molina medicare advantage case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 8 | WellCare medicare advantage hmo case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 9 | WellCare medicare advantage mmp case rate · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 10 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 11 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Blue Cross Blue Shield traditional fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 13 | UnitedHealthcare all payer fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $74 | $74 | — | — | — | $74 – $74 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $76 | $76 | — | — | — | $76 – $76 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $78 | — | — | — | $78 – $78 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $275 | $275 | — | — | — | $275 – $275 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $327 | $327 | — | — | — | $327 – $327 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $367 | $367 | — | — | — | $367 – $367 |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $436 | $436 | — | — | — | $436 – $436 |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $440 | $440 | — | — | — | $440 – $440 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $553 | $553 | — | — | — | $553 – $553 |
Last updated: Apr 21, 2026
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