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
Arsenic Trioxide 10MG/10ML Amp
Parkston, SD
See all hospitals reporting HCPCS J9017 →Price type
Avera St. Benedicts’s median price of $248 is 864% above the median hospital's median price ($26), higher than 74% of the 1,760 hospitals reporting HCPCS J9017. 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, 10 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 | Medica com fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Medica ind fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Medica ind percent of total billed charges · inpatientfrom % of charges | $198 | $198 | — | — | — | $198 – $198 |
| 4 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
| 5 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $210 | $210 | — | — | — | $210 – $210 |
| 6 | Medica com percent of total billed charges · inpatientfrom % of charges | $235 | $235 | — | — | — | $235 – $235 |
| 7 | UnitedHealthcare com percent of total billed charges · inpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 8 | UnitedHealthcare com percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 9 | Healthpartners com percent of total billed charges · inpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
| 10 | Healthpartners com percent of total billed charges · outpatientfrom % of charges | $290 | $290 | — | — | — | $290 – $290 |
Last updated: Apr 1, 2026
See Arsenic trioxide injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.