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
ESMOLOL IN NACL (ISO-OSM) 2,000 MG/100 ML INTRAVENOUS SOLP [28212]
Arlington, TX
See all hospitals reporting HCPCS J1805 →Price type
AMH Cath Labs LLC’s median price of $853 is 7789% above the median hospital's median price ($11), higher than 98% of the 2,006 hospitals reporting HCPCS J1805. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $137 | $141 | $5 | 4% | — | $137 – $148 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $137 | $141 | $5 | 4% | — | $137 – $148 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $144 | $148 | $5 | 4% | — | $144 – $155 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $148 | $152 | $5 | 4% | — | $148 – $160 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $151 | $155 | $6 | 4% | — | $151 – $163 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $534 | $547 | $19 | 4% | — | $534 – $575 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $634 | $650 | $23 | 4% | — | $634 – $683 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $712 | $730 | $26 | 4% | — | $712 – $767 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $798 | $819 | $29 | 4% | — | $798 – $860 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $845 | $867 | $31 | 4% | — | $845 – $910 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $846 | $868 | $31 | 4% | — | $846 – $911 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $853 | $875 | $31 | 4% | — | $853 – $919 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $39 | 4% | — | $1.1k – $1.2k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $39 | 4% | — | $1.1k – $1.2k |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $39 | 4% | — | $1.1k – $1.2k |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $39 | 4% | — | $1.1k – $1.2k |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.1k | $1.2k | $42 | 4% | — | $1.1k – $1.2k |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.3k | $1.4k | $49 | 4% | — | $1.3k – $1.4k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.4k | $49 | 4% | — | $1.3k – $1.4k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | $53 | 4% | — | $1.5k – $1.6k |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $53 | 4% | — | $1.5k – $1.6k |
Last updated: Apr 21, 2026
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