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
BEVACIZUMAB-MALY 25 MG/ML INTRAVENOUS SOLN [153561]
Arlington, TX
See all hospitals reporting HCPCS Q5126 →Price type
AMH Cath Labs LLC’s median price of $1.0k is 1300% above the median hospital's median price ($72), higher than 88% of the 1,344 hospitals reporting HCPCS Q5126. 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 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | Humana medicare advantage case rate · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 4 | Molina medicare advantage case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Blue Cross Blue Shield hmo fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 10 | Blue Cross Blue Shield exchange fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Blue Cross Blue Shield ppo fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 12 | UnitedHealthcare all payer fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 13 | UnitedHealthcare ppo fee schedule · outpatient | $280 | $280 | — | — | — | $280 – $280 |
| 14 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $528 | $528 | $317 | 60% | — | $211 – $844 |
| 15 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $528 | $528 | $317 | 60% | — | $211 – $844 |
| 16 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $554 | $554 | $333 | 60% | — | $222 – $887 |
| 17 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $570 | $570 | $342 | 60% | — | $228 – $912 |
| 18 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $580 | $580 | $348 | 60% | — | $232 – $929 |
| 19 | Blue Cross Blue Shield traditional fee schedule · outpatient | $666 | $666 | — | — | — | $666 – $666 |
| 20 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | $1.2k | 60% | — | $820 – $3.3k |
| 21 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | $1.5k | 60% | — | $974 – $3.9k |
| 22 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | $1.6k | 60% | — | $1.1k – $4.4k |
| 23 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $1.9k | 60% | — | $1.3k – $5.2k |
| 24 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | $2.0k | 60% | — | $1.3k – $5.2k |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | $2.5k | 60% | — | $1.6k – $6.6k |
Last updated: Apr 21, 2026
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