Glatiramer acetate injection, 20 mg at Astera Health

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.

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Generated: October 20, 2026

Original text from hospital filings

GLATIRAMER 20 MG/ML SUBQ SYRG

Wadena, MN

See all hospitals reporting HCPCS J1595 →

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Pricing by billing methodology

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How this price compares nationally

Astera Health’s median price of $902 is 343% above the median hospital's median price ($204), higher than 94% of the 1,384 hospitals reporting HCPCS J1595. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1595 at Astera Health

Negotiated rates from the hospital’s own file: 7 payers, 34 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 bcbs federal employees [400004] fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
2	Blue Cross Blue Shield bcbs high value network fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
3	Blue Cross Blue Shield blue plus [400058] fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
4	Ucare ucare pmap [300063] percent of total billed charges · outpatientfrom % of charges	$421	$421	—	—	—	$421 – $421
5	Ucare mr-ucare [300064] percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
6	Ucare mr-ucare msho [300061] percent of total billed charges · outpatientfrom % of charges	$486	$486	—	—	—	$486 – $486
7	Medica medica mncare [100751] percent of total billed charges · outpatientfrom % of charges	$495	$495	—	—	—	$495 – $495
8	Medica medica pmap [100345] percent of total billed charges · outpatientfrom % of charges	$495	$495	—	—	—	$495 – $495
9	Medica mr-medica dual solutions msho [100344] percent of total billed charges · outpatientfrom % of charges	$643	$643	—	—	—	$643 – $643
10	Medica mr-medica dual solutions msho [100344] percent of total billed charges · inpatientfrom % of charges	$668	$668	—	—	—	$668 – $668
11	Ucare ucare commercial [100748] percent of total billed charges · inpatientfrom % of charges	$803	$803	—	—	—	$803 – $803
12	UnitedHealthcare united healthcare [100453] percent of total billed charges · inpatientfrom % of charges	$860	$860	—	—	—	$860 – $860
13	Ucare ucare commercial [100748] percent of total billed charges · outpatientfrom % of charges	$860	$860	—	—	—	$860 – $860
14	Blue Cross Blue Shield bcbs federal employees [400004] percent of total billed charges · inpatientfrom % of charges	$880	$880	—	—	—	$880 – $880
15	Blue Cross Blue Shield bcbs high value network percent of total billed charges · inpatientfrom % of charges	$880	$880	—	—	—	$880 – $880
16	Blue Cross Blue Shield blue plus [400058] percent of total billed charges · inpatientfrom % of charges	$880	$880	—	—	—	$880 – $880
17	UnitedHealthcare united healthcare [100453] percent of total billed charges · outpatientfrom % of charges	$895	$895	—	—	—	$895 – $895
18	Medica medica [100341] percent of total billed charges · outpatientfrom % of charges	$902	$902	—	—	—	$902 – $902
19	MultiPlan multiplan percent of total billed charges · inpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
20	MultiPlan multiplan percent of total billed charges · outpatientfrom % of charges	$926	$926	—	—	—	$926 – $926
21	Sanford Health Plan sanford health plan [100578] percent of total billed charges · inpatientfrom % of charges	$984	$984	—	—	—	$984 – $984
22	Sanford Health Plan sanford health plan [100578] percent of total billed charges · outpatientfrom % of charges	$984	$984	—	—	—	$984 – $984
23	Aetna aetna - fh [100925] percent of total billed charges · inpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Aetna aetna - fh [100925] percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
25	Blue Cross Blue Shield mr-bcbs mn [400069] percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k

Page 1 of 2 · 34 rates

Last updated: Feb 20, 2026

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