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
SODIUM FERRIC GLUCONAT-SUCROSE 62.5 MG/5 ML INTRAVENOUS SOLN [17748]
Arlington, TX
See all hospitals reporting HCPCS J2916 →Price type
AMH Cath Labs LLC’s median price of $146 is 804% above the median hospital's median price ($16), higher than 90% of the 2,089 hospitals reporting HCPCS J2916. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 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 | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield traditional fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 5 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 6 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $24 | $24 | — | — | — | $24 – $24 |
| 7 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $92 | $92 | — | — | — | $92 – $92 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $110 | $110 | — | — | — | $110 – $110 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $123 | $123 | — | — | — | $123 – $123 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $146 | $146 | — | — | — | $146 – $146 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $148 | $148 | — | — | — | $148 – $148 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $187 | $187 | — | — | — | $187 – $187 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $232 | $232 | — | — | — | $232 – $232 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $251 | $251 | — | — | — | $251 – $251 |
Last updated: Apr 21, 2026
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