Lenacapavir injection for HIV treatment 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, lenacapavir, 1 mg

Kettering, OH

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Pricing by billing methodology

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How this price compares nationally

Kettering Medical Center ’s median price of $34 is 34% above the median hospital's median price ($26), higher than 67% of the 1,139 hospitals reporting HCPCS J1961. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1961 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	$23	$23	—	—	—	$23 – $23
2	UnitedHealthcare all commercial plans fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
3	UnitedHealthcare employee fee schedule · outpatient	$27	$27	—	—	—	$27 – $27
4	Caresource marketplace exchange fee schedule · outpatient	$28	$28	$6	21%	—	$22 – $34
5	Medical Mutual new buisness other commercial plan fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
6	Blue Cross Blue Shield anthem pathway hmox exchange fee schedule · outpatient	$33	$33	—	—	—	$33 – $33
7	UnitedHealthcare exchange fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
8	Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo fee schedule · outpatient	$35	$35	—	—	—	$35 – $35
9	Aetna all commercial plans fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
10	Aetna new business/oh ky preferred other commercial plan fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
11	Molina exchange fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
12	Medical Mutual supermed ppo fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
13	Cigna all commercial plans fee schedule · outpatient	$61	$61	—	—	—	$61 – $61

Last updated: Apr 1, 2026

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