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
DEXRAZOXANE HCL 500 MG INTRAVENOUS SOLR [16746]
Arlington, TX
See all hospitals reporting HCPCS J1190 →Price type
AMH Cath Labs LLC’s median price of $769 is 400% above the median hospital's median price ($154), higher than 85% of the 1,833 hospitals reporting HCPCS J1190. 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 | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Humana medicare advantage case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 4 | Molina medicare advantage case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 9 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $161 | $161 | — | — | — | $161 – $161 |
| 11 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $169 | $169 | — | — | — | $169 – $169 |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 13 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 14 | Blue Cross Blue Shield hmo fee schedule · outpatient | $388 | $388 | — | — | — | $388 – $388 |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $398 | $398 | — | — | — | $398 – $398 |
| 16 | Blue Cross Blue Shield ppo fee schedule · outpatient | $431 | $431 | — | — | — | $431 – $431 |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 18 | UnitedHealthcare ppo fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 19 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $626 | $626 | — | — | — | $626 – $626 |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $743 | $743 | — | — | — | $743 – $743 |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $834 | $834 | — | — | — | $834 – $834 |
| 22 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $991 | $991 | — | — | — | $991 – $991 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: Apr 21, 2026
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