Balfaxar blood-clotting factor injection, 640 units at Glendale Adventist Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJECTION, PROTHROMBIN COMPLEX CONCENTRATE, HUMAN-LANS, PER I.U. OF FACTOR IX ACTIVITY

Glendale, CA

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How this price compares nationally

Glendale Adventist Medical Center’s median price of $18 is 453% above the median hospital's median price ($3), higher than 74% of the 1,337 hospitals reporting HCPCS J7165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7165 at Glendale Adventist Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$2	$2	—	—	—	$2 – $2
2	Blue Cross Blue Shield tricare blue shield - all plans other · outpatient	$2	$2	—	—	—	$2 – $2
3	Molina molina mcr other · outpatient	$2	$2	—	—	—	$2 – $2
4	UnitedHealthcare uhc mcr adv other · outpatient	$2	$2	—	—	—	$2 – $2
5	Blue Cross Blue Shield blue cross mcr adv other · outpatient	$2	$2	—	—	—	$2 – $2
6	Molina molina exchange - all other plans other · outpatient	$2	$2	—	—	—	$2 – $2
7	Blue Cross Blue Shield blue cross exchange fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
8	Medicaid medi-cal fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
9	Molina molina mcal fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
10	Blue Cross Blue Shield blue cross non-mcs fee schedule · outpatient	$8	$8	—	—	—	$8 – $8
11	Blue Cross Blue Shield blue cross mcs - all other plans fee schedule · outpatient	$10	$10	—	—	—	$10 – $10
12	Blue Cross Blue Shield blue shield medi-cal percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
13	Blue Cross Blue Shield blue shield epn - all other plans percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
14	UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges	$17	$17	—	—	—	$17 – $17
15	UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
16	UnitedHealthcare uhc hmo percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
17	Blue Cross Blue Shield blue shield non epn percent of total billed charges · outpatientfrom % of charges	$19	$19	—	—	—	$19 – $19
18	Cigna cigna all other - all other plans percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
19	Cigna cigna hmo percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
20	Optum optum health - all other plans percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
21	Optum optum health mcr adv percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
22	First Health first health- all plans percent of total billed charges · outpatientfrom % of charges	$25	$25	—	—	—	$25 – $25
23	Phcs phcs- all plans percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
24	Kaiser kaiser - all plans percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
25	Aetna aetna - all plans fee schedule · outpatient	$102	$102	—	—	—	$102 – $102

Last updated: Jul 30, 2026

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