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
PROLASTIN-C 10MG
Burnet, TX
See all hospitals reporting HCPCS J0256 →Price type
Ascension Seton’s median price of $7 is 3% below the median hospital's median price ($7), higher than 49% of the 1,755 hospitals reporting HCPCS J0256. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 19 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 3 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 4 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 5 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 6 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 11 | Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 12 | Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 13 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 14 | Aetna 4486_aetna hmo 20250801 fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 16 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 19 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $19 | $19 | — | — | — | $19 – $19 |
Last updated: Jan 1, 2026
See Alpha-1 proteinase inhibitor injection, per 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.