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
PEGCETACOPLAN (PF) 15 MG/0.1 ML INTRAVITREAL SOLUTION
Macon, GA
See all hospitals reporting HCPCS J2781 →Price type
Central Georgia Rehabilitation LLC’s median price of $10.9k is 6347% above the median hospital's median price ($169), higher than 97% of the 1,157 hospitals reporting HCPCS J2781. 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, 28 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 | Aetna medicare advantage fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 3 | Humana medicare advantage fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 6 | Clover medicare advantage fee schedule · outpatient | $142 | $142 | — | — | — | $142 – $142 |
| 7 | Humana hmo/pos fee schedule · both | $216 | $216 | — | — | — | $216 – $216 |
| 8 | Humana ppo fee schedule · both | $216 | $216 | — | — | — | $216 – $216 |
| 9 | Anthem hmo/ppo fee schedule · both | $224 | $224 | — | — | — | $224 – $224 |
| 10 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 11 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 12 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 13 | Anthem hmo/ppo percent of total billed charges · outpatientfrom % of charges | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 14 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 15 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 16 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $14.0k | $14.0k | — | — | — | $14.0k – $14.0k |
| 17 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 18 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 19 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 20 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 21 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $15.5k | $15.5k | — | — | — | $15.5k – $15.5k |
| 22 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $15.7k | $15.7k | — | — | — | $15.7k – $15.7k |
| 23 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 24 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 25 | MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges | $19.0k | $19.0k | — | — | — | $19.0k – $19.0k |
Last updated: Nov 19, 2025
See Intravitreal pegcetacoplan injection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.