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
PENICILLIN G POT IN DEXTROSE 1 MILLION UNIT/50 ML INTRAVENOUS PGBK [31332]
Arlington, TX
See all hospitals reporting HCPCS J2540 →Price type
AMH Cath Labs LLC’s median price of $35 is 245% above the median hospital's median price ($10), higher than 70% of the 2,106 hospitals reporting HCPCS J2540. 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 52% | — | $4 – $13 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 52% | — | $4 – $13 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $5 | $7 | $4 | 52% | — | $5 – $14 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $8 | $4 | 52% | — | $5 – $14 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $6 | $8 | $4 | 52% | — | $5 – $14 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $20 | $27 | $14 | 52% | — | $17 – $51 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $24 | $32 | $17 | 52% | — | $21 – $61 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $27 | $36 | $19 | 52% | — | $23 – $68 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $30 | $40 | $21 | 52% | — | $26 – $76 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $31 | $43 | $22 | 52% | — | $27 – $81 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $32 | $43 | $22 | 52% | — | $27 – $81 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $32 | $43 | $22 | 52% | — | $28 – $82 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $40 | $54 | $28 | 52% | — | $35 – $103 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $40 | $54 | $28 | 52% | — | $35 – $103 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $40 | $55 | $28 | 52% | — | $35 – $103 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $40 | $55 | $28 | 52% | — | $35 – $103 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $43 | $58 | $30 | 52% | — | $37 – $110 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $50 | $68 | $35 | 52% | — | $44 – $128 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $50 | $68 | $35 | 52% | — | $44 – $128 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $54 | $74 | $38 | 52% | — | $47 – $139 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $54 | $74 | $38 | 52% | — | $47 – $139 |
Last updated: Apr 21, 2026
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