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
J0738T LENACAPAVIR 463.5 MG/1.5 ML INJ (YEZTUGO)
Schenectady, NY
See all hospitals reporting HCPCS J0738 →Price type
Ellis Hospital’s median price of $35.3k is 197063% above the median hospital's median price ($18), higher than 99% of the 636 hospitals reporting HCPCS J0738. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 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 | Medicare medicare facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Blue Cross Blue Shield blue shield senior facility · fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 3 | UnitedHealthcare united healthcare facility · percent of total billed charges · inpatientfrom % of charges | $56.4k | $56.4k | — | — | — | $56.4k – $56.4k |
| 4 | UnitedHealthcare united healthcare facility · percent of total billed charges · outpatientfrom % of charges | $56.4k | $56.4k | — | — | — | $56.4k – $56.4k |
| 5 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $58.6k | $58.6k | — | — | — | $58.6k – $58.6k |
| 6 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $60.0k | $60.0k | — | — | — | $60.0k – $60.0k |
| 7 | Tricare tricare facility · fee schedule · outpatient | $70.5k | $70.5k | — | — | — | $70.5k – $70.5k |
Last updated: Jun 25, 2026
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