Injection of cidofovir, 375 mg at AMH Cath Labs LLC

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CIDOFOVIR 75 MG/ML INTRAVENOUS SOLN [15995]

Arlington, TX

See all hospitals reporting HCPCS J0740 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $1.1k is 67% above the median hospital's median price ($686), higher than 75% of the 1,653 hospitals reporting HCPCS J0740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0740 at AMH Cath Labs LLC

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 managed medicaid percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$228	$228	—	—	—	$228 – $228
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$235	$235	—	—	—	$235 – $235
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$546	$546	—	—	—	$546 – $546
7	Humana medicare advantage case rate · outpatient	$568	$568	—	—	—	$568 – $568
8	Humana medicare advantage ppo case rate · outpatient	$568	$568	—	—	—	$568 – $568
9	Molina medicare advantage case rate · outpatient	$574	$574	—	—	—	$574 – $574
10	WellCare medicare advantage hmo case rate · outpatient	$574	$574	—	—	—	$574 – $574
11	WellCare medicare advantage mmp case rate · outpatient	$601	$601	—	—	—	$601 – $601
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$606	$606	—	—	—	$606 – $606
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$617	$617	—	—	—	$617 – $617
14	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$844	$844	—	—	—	$844 – $844
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
17	Blue Cross Blue Shield exchange fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Blue Cross Blue Shield ppo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
20	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
23	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
24	Aetna asa percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
25	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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