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
INSULIN LISPRO (U-100) 100 UNIT/ML SUBCUTANEOUS SOLUTION
Panguitch, UT
See all hospitals reporting HCPCS J1815 →Price type
Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital’s median price of $203 is 1784% above the median hospital's median price ($11), higher than 93% of the 2,174 hospitals reporting HCPCS J1815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 37 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 aetna medicare hmo facility · percent of total billed charges · outpatientfrom % of charges | $87.00 | $92.40 | $45.12 – $177.02 |
| 2 | Aetna aetna medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $87.00 | $92.40 | $45.12 – $177.02 |
| 3 | Molina medicaid facility · percent of total billed charges · outpatientfrom % of charges | $87.00 | $92.40 | $45.12 – $177.02 |
| 4 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · outpatientfrom % of charges | $87.00 | $92.40 | $45.12 – $177.02 |
| 5 | Molina molina medicare complete care hmo snp facility · percent of total billed charges · outpatientfrom % of charges | $96.16 | $102.13 | $49.88 – $195.65 |
| 6 | Tricare tricare (hnfs) military program facility · percent of total billed charges · outpatientfrom % of charges | $99.16 | $105.31 | $51.43 – $201.75 |
| 7 | Tricare tricare (hnfs) military program facility · percent of total billed charges · inpatientfrom % of charges | $117.93 | $125.25 | $61.17 – $239.95 |
| 8 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $187.74 | $199.39 | $97.38 – $381.98 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $192.32 | $204.26 | $99.75 – $391.30 |
| 10 | Molina medicaid facility · percent of total billed charges · inpatientfrom % of charges | $203.77 | $216.41 | $105.69 – $414.59 |
| 11 | Molina molina healthcare medicaid hmo facility · percent of total billed charges · inpatientfrom % of charges | $203.77 | $216.41 | $105.69 – $414.59 |
| 12 | Aetna aetna extended network facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 13 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 14 | Aetna aetna standard network aka aetna health plan network for utah facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 15 | Aetna aetna utah connected network facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 16 | Aetna aetna utah connected network facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 17 | Aetna aetna whole health connected utah network facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 18 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 19 | Blue Cross Blue Shield bcbs association-blue card ppo plan facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 20 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 21 | Blue Cross Blue Shield bcbs association-blue card traditional plan facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 22 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 23 | Cigna cigna managed care (hmo or open access plus aka oap) facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 24 | Cigna cigna open access flex facility · percent of total billed charges · inpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
| 25 | Cigna cigna open access flex facility · percent of total billed charges · outpatientfrom % of charges | $217.50 | $231.00 | $112.81 – $442.54 |
Last updated: Aug 5, 2026
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