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
OFATUMUMAB 100 MG/5 ML INTRAVENOUS SOLN [104198]
Arlington, TX
See all hospitals reporting HCPCS J9302 →Price type
AMH Cath Labs LLC’s median price of $767 is 670% above the median hospital's median price ($100), higher than 86% of the 1,362 hospitals reporting HCPCS J9302. 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 | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Humana medicare advantage case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Molina medicare advantage case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 12 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 13 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $177 | $177 | — | — | — | $177 – $177 |
| 14 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $186 | $186 | — | — | — | $186 – $186 |
| 15 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 16 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $195 | $195 | — | — | — | $195 – $195 |
| 17 | UnitedHealthcare all payer fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 18 | UnitedHealthcare ppo fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $542 | $542 | — | — | — | $542 – $542 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $689 | $689 | — | — | — | $689 – $689 |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $846 | $846 | — | — | — | $846 – $846 |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $918 | $918 | — | — | — | $918 – $918 |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
Last updated: Apr 21, 2026
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