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
GEMTUZUMAB OZOGAMICIN 4.5 MG (1 MG/ML INITIAL CONC) INTRAVENOUS SOLR [138502]
Arlington, TX
See all hospitals reporting HCPCS J9203 →Price type
AMH Cath Labs LLC’s median price of $12.4k is 3276% above the median hospital's median price ($367), higher than 84% of the 1,554 hospitals reporting HCPCS J9203. 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 | $237 | $237 | — | — | — | $237 – $237 |
| 2 | Humana medicare advantage case rate · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 4 | Molina medicare advantage case rate · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $248 | $248 | — | — | — | $248 – $248 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $260 | $260 | — | — | — | $260 – $260 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $396 | $396 | — | — | — | $396 – $396 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $406 | $406 | — | — | — | $406 – $406 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $857 | $857 | — | — | — | $857 – $857 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $857 | $857 | — | — | — | $857 – $857 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $14.8k | $14.8k | — | — | — | $14.8k – $14.8k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $17.8k | $17.8k | — | — | — | $17.8k – $17.8k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $18.2k | $18.2k | — | — | — | $18.2k – $18.2k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $22.4k | $22.4k | — | — | — | $22.4k – $22.4k |
Last updated: Apr 21, 2026
See Gemtuzumab ozogamicin injection, per 0.1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.