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
DIMERCAPROL 100 MG/ML INTRAMUSCULAR SOLUTION
Ulysses, KS
See all hospitals reporting HCPCS J0470 →Price type
Commonspirit Kansas, Inc.’s median price of $1.6k is 1514% above the median hospital's median price ($101), higher than 99% of the 1,100 hospitals reporting HCPCS J0470. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Bcbs Ks commercial ppo/hmo fee schedule · outpatient | $62 | $62 | — | — | — | $62 – $62 |
| 2 | Aetna managed medicare percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 3 | Humana managed medicare percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 5 | UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 6 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 7 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 13 | MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
Last updated: Feb 3, 2026
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