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
PALIPERIDONE PALMITATE 117 MG/0.75 ML INTRAMUSC SYRG [103023]
Arlington, TX
See all hospitals reporting HCPCS J2426 →Price type
AMH Cath Labs LLC’s median price of $1.1k is 4280% above the median hospital's median price ($24), higher than 72% of the 1,725 hospitals reporting HCPCS J2426. 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 | $15 | $15 | — | — | — | $15 – $15 |
| 2 | Humana medicare advantage case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 4 | Molina medicare advantage case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $596 | $596 | $307 | 52% | — | $170 – $1.0k |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $596 | $596 | $307 | 52% | — | $170 – $1.0k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $626 | $626 | $323 | 52% | — | $179 – $1.1k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $644 | $644 | $331 | 52% | — | $184 – $1.1k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $656 | $656 | $338 | 52% | — | $187 – $1.1k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | $1.2k | 52% | — | $662 – $4.0k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | $1.4k | 52% | — | $786 – $4.7k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | $1.6k | 52% | — | $882 – $5.3k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $1.9k | 52% | — | $1.0k – $6.3k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $1.9k | 52% | — | $1.1k – $6.3k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | $2.4k | 52% | — | $1.3k – $8.0k |
Last updated: Apr 21, 2026
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