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
ARSENIC TRIOXIDE 12 MG/6ML IV SOLN
Hackensack, NJ
See all hospitals reporting HCPCS J9017 →Price type
Hmh Hospitals Corporation’s median price of $101 is 291% above the median hospital's median price ($26), higher than 65% of the 1,768 hospitals reporting HCPCS J9017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 16 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 medicare advantage facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Optum medicare advantage facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Optum managed medicaid facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Aetna medicare advantage facility · fee schedule · outpatient | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $44 | $35 | $19 | 54% | — | $3 – $50 |
| 6 | Cigna hmo facility · percent of total billed charges · bothfrom % of charges | $83 | $66 | $36 | 54% | — | $6 – $94 |
| 7 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $83 | $66 | $36 | 54% | — | $6 – $94 |
| 8 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $104 | $84 | $45 | 54% | — | $8 – $119 |
| 9 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $104 | $84 | $45 | 54% | — | $8 – $119 |
| 10 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $104 | $84 | $45 | 54% | — | $8 – $119 |
| 11 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $110 | $88 | $47 | 54% | — | $9 – $125 |
| 12 | WellCare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $110 | $88 | $47 | 54% | — | $9 – $125 |
| 13 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $119 | $96 | $52 | 54% | — | $9 – $136 |
| 14 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $138 | $111 | $60 | 54% | — | $11 – $157 |
| 15 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $195 | $157 | $84 | 54% | — | $15 – $222 |
| 16 | MultiPlan all products facility · percent of total billed charges · bothfrom % of charges | $207 | $167 | $90 | 54% | — | $16 – $235 |
Last updated: Dec 31, 2025
See Arsenic trioxide injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.