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
IRINOTECAN LIPOSOMAL 4.3 MG/ML INTRAVENOUS DISP [131222]
Arlington, TX
See all hospitals reporting HCPCS J9205 →Price type
AMH Cath Labs LLC’s median price of $3.5k is 3464% above the median hospital's median price ($99), higher than 86% of the 1,588 hospitals reporting HCPCS J9205. 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 | $66 | $66 | — | — | — | $66 – $66 |
| 2 | Humana medicare advantage case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 4 | Molina medicare advantage case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $397 | $397 | — | — | — | $397 – $397 |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $812 | $812 | — | — | — | $812 – $812 |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $853 | $853 | — | — | — | $853 – $853 |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $877 | $877 | — | — | — | $877 – $877 |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $894 | $894 | — | — | — | $894 – $894 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
Last updated: Apr 21, 2026
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