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
ARSENIC TRIOXIDE 1 MG/ML INTRAVENOUS SOLN [20400]
Arlington, TX
See all hospitals reporting HCPCS J9017 →Price type
AMH Cath Labs LLC’s median price of $1.1k is 4113% above the median hospital's median price ($26), higher than 90% of the 1,762 hospitals reporting HCPCS J9017. 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 | UnitedHealthcare all payer fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 2 | UnitedHealthcare ppo fee schedule · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 3 | Blue Cross Blue Shield hmo fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Blue Cross Blue Shield exchange fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 7 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $174 | $174 | — | — | — | $174 – $174 |
| 8 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $183 | $183 | — | — | — | $183 – $183 |
| 9 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 10 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $192 | $192 | — | — | — | $192 – $192 |
| 11 | Blue Cross Blue Shield traditional fee schedule · outpatient | $382 | $382 | — | — | — | $382 – $382 |
| 12 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $678 | $678 | — | — | — | $678 – $678 |
| 13 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $833 | $833 | — | — | — | $833 – $833 |
| 14 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $904 | $904 | — | — | — | $904 – $904 |
| 15 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
Last updated: Apr 21, 2026
See Arsenic trioxide injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.