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
PEMETREXED DISODIUM 100 MG INTRAVENOUS SOLR [96195]
Arlington, TX
See all hospitals reporting HCPCS J9305 →Price type
AMH Cath Labs LLC’s median price of $467 is 3109% above the median hospital's median price ($15), higher than 83% of the 1,934 hospitals reporting HCPCS J9305. 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 | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Humana medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Molina medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | UnitedHealthcare all payer fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 10 | UnitedHealthcare ppo fee schedule · outpatient | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Blue Cross Blue Shield hmo fee schedule · outpatient | $144 | $144 | — | — | — | $144 – $144 |
| 12 | Blue Cross Blue Shield exchange fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 14 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $237 | $495 | $495 | 100% | — | $60 – $1.2k |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $237 | $495 | $495 | 100% | — | $60 – $1.2k |
| 16 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $249 | $520 | $520 | 100% | — | $63 – $1.2k |
| 17 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $256 | $534 | $535 | 100% | — | $64 – $1.3k |
| 18 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $261 | $544 | $545 | 100% | — | $65 – $1.3k |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $656 | $656 | — | — | — | $656 – $656 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $923 | $1.9k | $1.9k | 100% | — | $231 – $4.6k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.4k | $2.4k | 100% | — | $284 – $5.7k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1.2k | $2.6k | $2.6k | 100% | — | $308 – $6.2k |
| 23 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $1.5k | $3.1k | $3.1k | 100% | — | $370 – $7.4k |
| 24 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.5k | $3.1k | $3.2k | 100% | — | $379 – $7.6k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $1.9k | $3.9k | $3.9k | 100% | — | $465 – $9.3k |
Last updated: Apr 21, 2026
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