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
HEMLIBRA 12 MG/0.4 ML INJ
Kyle, TX
See all hospitals reporting HCPCS J7170 →Price type
Ascension Seton’s median price of $51 is 25% below the median hospital's median price ($68), higher than 4% of the 1,239 hospitals reporting HCPCS J7170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 17 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 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 2 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 3 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 4 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 5 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 6 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 7 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 8 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 10 | Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 11 | Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 12 | Aetna 4486_aetna hmo 20250801 fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 13 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $149 | $149 | — | — | — | $149 – $149 |
| 14 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 15 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient | $153 | $153 | — | — | — | $153 – $153 |
| 16 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 17 | Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
Last updated: Jan 1, 2026
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