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
ANTIHEMOPHIL FVIII REC, B-DOM TRUNC PEG-EXEI 500(+/-) UNIT IV SOLUTION
Macon, GA
See all hospitals reporting HCPCS J7204 →Price type
Central Georgia Rehabilitation LLC’s median price of $17 is 561% above the median hospital's median price ($3), higher than 97% of the 1,107 hospitals reporting HCPCS J7204. 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 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Anthem medicare advantage fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Humana medicare advantage fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare medicare advantage fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Caresource medicare advantage fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Clover medicare advantage fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Aetna hmo fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 8 | Aetna pos fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Aetna ppo fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Anthem hmo/ppo fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Anthem hmo/ppo fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Humana hmo/pos fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Humana ppo fee schedule · both | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges | $15 | $15 | — | — | — | $15 – $15 |
| 15 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $20 | $20 | — | — | — | $20 – $20 |
| 16 | Anthem hmo/ppo percent of total billed charges · inpatientfrom % of charges | $22 | $22 | — | — | — | $22 – $22 |
| 17 | Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges | $25 | $25 | — | — | — | $25 – $25 |
| 18 | Humana hmo/pos percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 19 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $29 | $29 | — | — | — | $29 – $29 |
| 20 | Aetna pos percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 21 | Kaiser commercial percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 22 | Kaiser commercial percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 23 | MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 24 | MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges | $32 | $32 | — | — | — | $32 – $32 |
| 25 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $33 | $33 | — | — | — | $33 – $33 |
Last updated: Nov 19, 2025
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