Glatiramer acetate injection, 20 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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

GLATIRAMER 40 MG/ML SUBCUTANEOUS SYRG [124235]

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $597 is 193% above the median hospital's median price ($204), higher than 87% of the 1,390 hospitals reporting HCPCS J1595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1595 at AMH Cath Labs LLC

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.

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1	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$102	$102	$26	26%	—	$76 – $128
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$102	$102	$26	26%	—	$76 – $128
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$107	$107	$28	26%	—	$80 – $135
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$110	$110	$28	26%	—	$82 – $139
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$112	$112	$29	26%	—	$84 – $141
6	Blue Cross Blue Shield hmo fee schedule · outpatient	$191	$191	—	—	—	$191 – $191
7	Blue Cross Blue Shield exchange fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
8	Blue Cross Blue Shield ppo fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
9	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$397	$397	$102	26%	—	$295 – $499
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$471	$471	$121	26%	—	$351 – $592
11	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$529	$529	$136	26%	—	$394 – $665
12	UnitedHealthcare all payer fee schedule · outpatient	$585	$585	—	—	—	$585 – $585
13	UnitedHealthcare ppo fee schedule · outpatient	$585	$585	—	—	—	$585 – $585
14	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$628	$628	$161	26%	—	$467 – $789
15	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$634	$634	$163	26%	—	$472 – $797
16	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$798	$798	$204	26%	—	$593 – $1.0k
17	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$800	$800	$205	26%	—	$595 – $1.0k
18	Aetna asa percent of total billed charges · outpatientfrom % of charges	$805	$805	$206	26%	—	$598 – $1.0k
19	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$805	$805	$206	26%	—	$598 – $1.0k
20	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$855	$855	$219	26%	—	$636 – $1.1k
21	Blue Cross Blue Shield traditional fee schedule · outpatient	$871	$871	—	—	—	$871 – $871
22	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$999	$999	$256	26%	—	$743 – $1.3k
23	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$999	$999	$256	26%	—	$743 – $1.3k
24	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$277	26%	—	$803 – $1.4k
25	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$277	26%	—	$803 – $1.4k

Last updated: Apr 21, 2026

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