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
DEXMEDETOMIDINE 180 MCG SUBLINGUAL FILM [153362]
Arlington, TX
See all hospitals reporting HCPCS J1105 →Price type
AMH Cath Labs LLC’s median price of $52 is 5785% above the median hospital's median price ($1), higher than 96% of the 949 hospitals reporting HCPCS J1105. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $8 | $8 | — | — | — | $8 – $8 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $44 | $44 | — | — | — | $44 – $44 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $49 | $49 | — | — | — | $49 – $49 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $66 | $66 | — | — | — | $66 – $66 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $70 | $70 | — | — | — | $70 – $70 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
Last updated: Apr 21, 2026
See Dexmedetomidine oral medication, per microgram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.