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
DACTINOMYCIN 0.5 MG INTRAVENOUS SOLR [16692]
Arlington, TX
See all hospitals reporting HCPCS J9120 →Price type
AMH Cath Labs LLC’s median price of $3.9k is 554% above the median hospital's median price ($590), higher than 92% of the 1,657 hospitals reporting HCPCS J9120. 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 | $328 | $328 | — | — | — | $328 – $328 |
| 2 | Humana medicare advantage case rate · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $341 | $341 | — | — | — | $341 – $341 |
| 4 | Molina medicare advantage case rate · outpatient | $345 | $345 | — | — | — | $345 – $345 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $345 | $345 | — | — | — | $345 – $345 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $364 | $364 | — | — | — | $364 – $364 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 9 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 10 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $796 | $796 | — | — | — | $796 – $796 |
| 11 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $836 | $836 | — | — | — | $836 – $836 |
| 12 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $859 | $859 | — | — | — | $859 – $859 |
| 13 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $875 | $875 | — | — | — | $875 – $875 |
| 14 | Blue Cross Blue Shield hmo fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Blue Cross Blue Shield exchange fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 16 | UnitedHealthcare all payer fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | UnitedHealthcare ppo fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Blue Cross Blue Shield ppo fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 21 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 24 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 25 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
Last updated: Apr 21, 2026
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