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
TEBENTAFUSP-TEBN 100 MCG/0.5 ML INTRAVENOUS SOLN [152604]
Arlington, TX
See all hospitals reporting HCPCS J9274 →Price type
AMH Cath Labs LLC’s median price of $25.8k is 8777% above the median hospital's median price ($290), higher than 91% of the 1,314 hospitals reporting HCPCS J9274. 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 | $217 | $217 | — | — | — | $217 – $217 |
| 2 | Humana medicare advantage case rate · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 4 | Molina medicare advantage case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $392 | $392 | — | — | — | $392 – $392 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $788 | $788 | — | — | — | $788 – $788 |
| 14 | Blue Cross Blue Shield traditional fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 16 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 17 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 18 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 19 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $28.4k | $28.4k | — | — | — | $28.4k – $28.4k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $30.8k | $30.8k | — | — | — | $30.8k – $30.8k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $37.0k | $37.0k | — | — | — | $37.0k – $37.0k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $37.9k | $37.9k | — | — | — | $37.9k – $37.9k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $46.5k | $46.5k | — | — | — | $46.5k – $46.5k |
Last updated: Apr 21, 2026
See Injection of tebentafusp (per microgram) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.