Injection of elosulfase alfa, per 1 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ELOSULFASE ALFA 5 MG/5 ML (1 MG/ML) INTRAVENOUS SOLN [124453]

Arlington, TX

See all hospitals reporting HCPCS J1322 →

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $2.0k is 448% above the median hospital's median price ($357), higher than 93% of the 1,234 hospitals reporting HCPCS J1322. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1322 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 medicare advantage case rate · outpatient	$309	$309	—	—	—	$309 – $309
2	Humana medicare advantage case rate · outpatient	$321	$321	—	—	—	$321 – $321
3	Humana medicare advantage ppo case rate · outpatient	$321	$321	—	—	—	$321 – $321
4	Molina medicare advantage case rate · outpatient	$324	$324	—	—	—	$324 – $324
5	WellCare medicare advantage hmo case rate · outpatient	$324	$324	—	—	—	$324 – $324
6	WellCare medicare advantage mmp case rate · outpatient	$340	$340	—	—	—	$340 – $340
7	UnitedHealthcare medicare advantage ppo case rate · outpatient	$343	$343	—	—	—	$343 – $343
8	UnitedHealthcare medicare advantage hmo case rate · outpatient	$349	$349	—	—	—	$349 – $349
9	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$409	$409	—	—	—	$409 – $409
10	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$409	$409	—	—	—	$409 – $409
11	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$430	$430	—	—	—	$430 – $430
12	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$442	$442	—	—	—	$442 – $442
13	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$450	$450	—	—	—	$450 – $450
14	Blue Cross Blue Shield hmo fee schedule · outpatient	$465	$465	—	—	—	$465 – $465
15	Blue Cross Blue Shield exchange fee schedule · outpatient	$477	$477	—	—	—	$477 – $477
16	Blue Cross Blue Shield ppo fee schedule · outpatient	$517	$517	—	—	—	$517 – $517
17	UnitedHealthcare all payer fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	UnitedHealthcare ppo fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
21	Blue Cross Blue Shield traditional fee schedule · outpatient	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
22	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$2.1k	$2.1k	—	—	—	$2.1k – $2.1k
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
24	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
25	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$3.2k	$3.2k	—	—	—	$3.2k – $3.2k

Page 1 of 2 · 33 rates

Last updated: Apr 21, 2026

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