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
PENTOSTATI 10MG/5ML SDVTB
Merced, CA
See all hospitals reporting HCPCS J9268 →Price type
Dignity Health’s median price of $3.5k is 8% above the median hospital's median price ($3.3k), higher than 56% of the 1,511 hospitals reporting HCPCS J9268. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 30 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 | Anthem medicaid|< 21 fee schedule · outpatient | $1.7k | $1.7k | $299 | 18% | — | $1.4k – $1.9k |
| 2 | Anthem medicaid|> 21 fee schedule · outpatient | $1.7k | $1.7k | $299 | 18% | — | $1.4k – $1.9k |
| 3 | Anthem commercial|exchange fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 4 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 5 | Aetna medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 6 | Anthem medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 7 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 8 | Humana medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Kaiser medicare|all plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 10 | UnitedHealthcare medicare|all plans case rate · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 11 | Anthem commercial|all other plans fee schedule · outpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 13 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | Cigna commercial|all other plans fee schedule · inpatient | $4.3k | $4.3k | $778 | 18% | — | $3.5k – $5.1k |
| 15 | Cigna commercial|all other plans fee schedule · outpatient | $4.3k | $4.3k | $778 | 18% | — | $3.5k – $5.1k |
| 16 | Cigna commercial|ppo fee schedule · inpatient | $4.3k | $4.3k | $778 | 18% | — | $3.5k – $5.1k |
| 17 | Cigna commercial|ppo fee schedule · outpatient | $4.3k | $4.3k | $778 | 18% | — | $3.5k – $5.1k |
| 18 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 19 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 20 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 21 | Kaiser commercial|all plans fee schedule · inpatient | $4.6k | $4.6k | $826 | 18% | — | $3.7k – $5.4k |
| 22 | Kaiser commercial|all plans fee schedule · outpatient | $4.6k | $4.6k | $826 | 18% | — | $3.7k – $5.4k |
| 23 | Anthem commercial|mcs fee schedule · outpatient | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 24 | First Health commercial|all plans fee schedule · inpatient | $5.3k | $5.3k | $958 | 18% | — | $4.3k – $6.2k |
| 25 | First Health commercial|all plans fee schedule · outpatient | $5.3k | $5.3k | $958 | 18% | — | $4.3k – $6.2k |
Last updated: Feb 28, 2026
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