Injection of cipaglucosidase alfa, 5 mg at Kettering 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

Inj, cipaglucosidase, 5 mg

Kettering, OH

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How this price compares nationally

Kettering Medical Center ’s median price of $142 is 41% above the median hospital's median price ($101), higher than 72% of the 1,115 hospitals reporting HCPCS J1203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1203 at Kettering Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 13 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	Molina medicare managed care plan fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
2	UnitedHealthcare all commercial plans fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
3	UnitedHealthcare employee fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
4	Caresource marketplace exchange fee schedule · outpatient	$116	$116	$25	21%	—	$91 – $141
5	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$122	$122	—	—	—	$122 – $122
6	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
7	UnitedHealthcare exchange fee schedule · outpatient	$142	$142	—	—	—	$142 – $142
8	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
9	Aetna all commercial plans fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
10	Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
11	Molina exchange fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
12	Medical Mutual supermed ppo fee schedule · outpatient	$204	$204	—	—	—	$204 – $204
13	Cigna all commercial plans fee schedule · outpatient	$251	$251	—	—	—	$251 – $251

Last updated: Apr 1, 2026

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