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
IMIPEN/CILAS/RELEB 1.25G
Lee's Summit, MO
See all hospitals reporting HCPCS J0742 →Price type
Lee's Summit Medical Center’s median price of $237 is 5423% above the median hospital's median price ($4), higher than 81% of the 1,368 hospitals reporting HCPCS J0742. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 tricare fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare ksmgmcd fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Aetna Better Health mcd fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | UnitedHealthcare momgmcd fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Aetna familyhealthplanmcd percent of total billed charges · outpatientfrom % of charges | $202 | $202 | — | — | — | $202 – $202 |
| 7 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $220 | $220 | — | — | — | $220 – $220 |
| 8 | Blue Cross Blue Shield freedomnetworkselect percent of total billed charges · outpatientfrom % of charges | $237 | $237 | — | — | — | $237 – $237 |
| 9 | Blue Cross Blue Shield freedomnetwork percent of total billed charges · outpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 10 | Blue Cross Blue Shield pc percent of total billed charges · outpatientfrom % of charges | $360 | $360 | — | — | — | $360 – $360 |
| 11 | Blue Cross Blue Shield participating percent of total billed charges · outpatientfrom % of charges | $377 | $377 | — | — | — | $377 – $377 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $377 | $377 | — | — | — | $377 – $377 |
| 13 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $395 | $395 | — | — | — | $395 – $395 |
| 14 | MultiPlan complimentarynetwork percent of total billed charges · outpatientfrom % of charges | $649 | $649 | — | — | — | $649 – $649 |
| 15 | MultiPlan wcompmissouri percent of total billed charges · outpatientfrom % of charges | $702 | $702 | — | — | — | $702 – $702 |
Last updated: Mar 1, 2026
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