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
VERTEPORFIN 15 MG INTRAVENOUS SOLR [11957]
Arlington, TX
See all hospitals reporting HCPCS J3396 →Price type
AMH Cath Labs LLC’s median price of $2.1k is 14555% above the median hospital's median price ($15), higher than 92% of the 1,248 hospitals reporting HCPCS J3396. 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 | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Humana medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Molina medicare advantage case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $24 | $24 | — | — | — | $24 – $24 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $502 | $502 | — | — | — | $502 – $502 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $502 | $502 | — | — | — | $502 – $502 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $528 | $528 | — | — | — | $528 – $528 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $542 | $542 | — | — | — | $542 – $542 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $552 | $552 | — | — | — | $552 – $552 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
Last updated: Apr 21, 2026
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