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
CERTOLIZUMAB PEGOL 400 MG (200 MG X 2 VIALS) SUBCUTANEOUS KIT [96812]
Arlington, TX
See all hospitals reporting HCPCS J0717 →Price type
AMH Cath Labs LLC’s median price of $3.6k is 43318% above the median hospital's median price ($8), higher than 78% of the 1,722 hospitals reporting HCPCS J0717. 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 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Humana medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Molina medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
| 10 | UnitedHealthcare all payer fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 11 | UnitedHealthcare ppo fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 12 | Blue Cross Blue Shield exchange fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $840 | $840 | — | — | — | $840 – $840 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $840 | $840 | — | — | — | $840 – $840 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $882 | $882 | — | — | — | $882 – $882 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $907 | $907 | — | — | — | $907 – $907 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $924 | $924 | — | — | — | $924 – $924 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | $0 | 0% | — | $3.9k – $3.9k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | $0 | 0% | — | $4.4k – $4.4k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | $0 | 0% | — | $5.2k – $5.2k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | $0 | 0% | — | $5.2k – $5.2k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $6.6k | $6.6k | $0 | 0% | — | $6.6k – $6.6k |
Last updated: Apr 21, 2026
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