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
Injection, follitropin beta, 75 IU
Lubbock, TX
See all hospitals reporting HCPCS S0128 →Price type
Covenant Medical Center’s median price of $707 is 172% above the median hospital's median price ($260), higher than 89% of the 744 hospitals reporting HCPCS S0128. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 5 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 preferred other commercial plan fee schedule · outpatient | $703 | $703 | — | — | — | $703 – $703 |
| 2 | Blue Cross Blue Shield blue essentials hmo fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 3 | Blue Cross Blue Shield ers blue essentials for healthselect members hmo fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 4 | Blue Cross Blue Shield par traditional fee schedule · outpatient | $707 | $707 | — | — | — | $707 – $707 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $714 | $714 | — | — | — | $714 – $714 |
Last updated: Apr 1, 2026
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