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
TIROFIBAN-0.9% SODIUM CHLORIDE 12.5 MG/250 ML (50 MCG/ML) INTRAVENOUS SOLN [101679]
Arlington, TX
See all hospitals reporting HCPCS J3246 →Price type
AMH Cath Labs LLC’s median price of $239 is 2044% above the median hospital's median price ($11), higher than 78% of the 1,579 hospitals reporting HCPCS J3246. 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 | $21 | $21 | — | — | — | $21 – $21 |
| 2 | Blue Cross Blue Shield exchange fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 4 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $24 | 44% | — | $29 – $77 |
| 5 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $53 | $53 | $24 | 44% | — | $29 – $77 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $56 | $56 | $25 | 44% | — | $31 – $80 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $57 | $57 | $25 | 44% | — | $32 – $83 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $58 | $58 | $26 | 44% | — | $32 – $84 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $206 | $206 | $91 | 44% | — | $115 – $297 |
| 11 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $245 | $245 | $109 | 44% | — | $136 – $353 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $275 | $275 | $122 | 44% | — | $153 – $397 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $308 | $308 | $137 | 44% | — | $171 – $445 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $326 | $326 | $145 | 44% | — | $181 – $471 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $326 | $326 | $145 | 44% | — | $182 – $471 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $329 | $329 | $146 | 44% | — | $183 – $476 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $414 | $414 | $184 | 44% | — | $230 – $598 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $415 | $415 | $184 | 44% | — | $231 – $600 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $418 | $418 | $185 | 44% | — | $232 – $603 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $418 | $418 | $185 | 44% | — | $232 – $603 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $444 | $444 | $197 | 44% | — | $247 – $641 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $518 | $518 | $230 | 44% | — | $288 – $748 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $518 | $518 | $230 | 44% | — | $288 – $748 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $561 | $561 | $249 | 44% | — | $312 – $810 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $561 | $561 | $249 | 44% | — | $312 – $810 |
Last updated: Apr 21, 2026
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