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
GUSELKUMAB 100 MG/ML SUBCUTANEOUS SYRINGE
Enumclaw, WA
See all hospitals reporting HCPCS J1628 →Price type
Enumclaw Regional Hospital Association’s median price of $15.3k is 14335% above the median hospital's median price ($106), higher than 91% of the 1,376 hospitals reporting HCPCS J1628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 33 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 | Premera commercial|all plans case rate · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 2 | Regence commercial|all plans case rate · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Aetna commercial|awh fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 4 | UnitedHealthcare commercial|cascade care fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Aetna commercial|all other plans fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 6 | UnitedHealthcare commercial|navigate fee schedule · outpatient | $157 | $157 | — | — | — | $157 – $157 |
| 7 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $165 | $165 | — | — | — | $165 – $165 |
| 8 | Kaiser commercial|hmo fee schedule · outpatient | $232 | $232 | — | — | — | $232 – $232 |
| 9 | Kaiser commercial|ppo fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 10 | Kaiser medicare|all plans fee schedule · outpatient | $11.7k | $11.7k | $3.9k | 33% | — | $7.8k – $15.6k |
| 11 | UnitedHealthcare medicaid|all plans fee schedule · outpatient | $11.7k | $11.7k | $3.9k | 33% | — | $7.8k – $15.6k |
| 12 | Molina medicaid|all plans fee schedule · outpatient | $11.8k | $11.8k | $3.9k | 33% | — | $7.8k – $15.7k |
| 13 | Optum medicare|all plans fee schedule · outpatient | $11.8k | $11.8k | $3.9k | 33% | — | $7.9k – $15.7k |
| 14 | Premera medicare|all plans fee schedule · outpatient | $12.0k | $12.0k | $4.0k | 33% | — | $8.0k – $16.0k |
| 15 | Regence medicare|all plans fee schedule · outpatient | $12.0k | $12.0k | $4.0k | 33% | — | $8.0k – $16.0k |
| 16 | Humana medicare|all plans fee schedule · outpatient | $12.5k | $12.5k | $4.2k | 33% | — | $8.3k – $16.7k |
| 17 | Molina medicare|all plans fee schedule · outpatient | $12.6k | $12.6k | $4.2k | 33% | — | $8.4k – $16.8k |
| 18 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $12.6k | $12.6k | $4.2k | 33% | — | $8.4k – $16.8k |
| 19 | Aetna medicare|all plans fee schedule · outpatient | $14.3k | $14.3k | $4.8k | 33% | — | $9.5k – $19.0k |
| 20 | UnitedHealthcare medicaid|all plans fee schedule · inpatient | $19.3k | $19.3k | $6.4k | 33% | — | $12.8k – $25.7k |
| 21 | Molina medicaid|all plans fee schedule · inpatient | $19.4k | $19.4k | $6.5k | 33% | — | $12.9k – $25.8k |
| 22 | Molina commercial|marketplace exchange fee schedule · outpatient | $22.4k | $22.4k | $7.5k | 33% | — | $15.0k – $29.9k |
| 23 | UnitedHealthcare commercial|cascade care fee schedule · inpatient | $23.4k | $23.4k | $7.8k | 33% | — | $15.6k – $31.2k |
| 24 | UnitedHealthcare commercial|navigate fee schedule · inpatient | $24.0k | $24.0k | $8.0k | 33% | — | $16.0k – $32.0k |
| 25 | UnitedHealthcare commercial|all other plans fee schedule · inpatient | $25.3k | $25.3k | $8.4k | 33% | — | $16.9k – $33.8k |
Last updated: Feb 28, 2026
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