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
CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION
Macon, GA
See all hospitals reporting HCPCS J0791 →Price type
Central Georgia Rehabilitation LLC’s median price of $9.0k is 5050% above the median hospital's median price ($174), higher than 98% of the 1,427 hospitals reporting HCPCS J0791. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 31 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 | Aetna medicare advantage fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 3 | Humana medicare advantage fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 6 | Clover medicare advantage fee schedule · outpatient | $132 | $132 | — | — | — | $132 – $132 |
| 7 | Aetna hmo fee schedule · both | $155 | $155 | — | — | — | $155 – $155 |
| 8 | Aetna pos fee schedule · both | $155 | $155 | — | — | — | $155 – $155 |
| 9 | Aetna ppo fee schedule · both | $155 | $155 | — | — | — | $155 – $155 |
| 10 | Anthem hmo/ppo fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 11 | Humana hmo/pos fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 12 | Humana ppo fee schedule · both | $181 | $181 | — | — | — | $181 – $181 |
| 13 | Anthem hmo/ppo fee schedule · both | $188 | $188 | — | — | — | $188 – $188 |
| 14 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 15 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 16 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 17 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 18 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 19 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $15.6k | $15.6k | — | — | — | $15.6k – $15.6k |
| 20 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 21 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 22 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 23 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 24 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $17.4k | $17.4k | — | — | — | $17.4k – $17.4k |
Last updated: Nov 19, 2025
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