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
BCG LIVE 50 MG INTRAVESICAL SUSR [12267]
Arlington, TX
See all hospitals reporting HCPCS J9030 →Price type
AMH Cath Labs LLC’s median price of $51 is 819% above the median hospital's median price ($6), higher than 75% of the 1,533 hospitals reporting HCPCS J9030. 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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Humana medicare advantage case rate · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Molina medicare advantage case rate · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 13 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $10 | $10 | — | — | — | $10 – $10 |
| 14 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $11 | $11 | — | — | — | $11 – $11 |
| 17 | Blue Cross Blue Shield traditional fee schedule · outpatient | $28 | $28 | — | — | — | $28 – $28 |
| 18 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $39 | $39 | — | — | — | $39 – $39 |
| 19 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 20 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 21 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $58 | $58 | — | — | — | $58 – $58 |
| 22 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $62 | $62 | — | — | — | $62 – $62 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $64 | $64 | — | — | — | $64 – $64 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
Last updated: Apr 21, 2026
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