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
VABYSMO 6 MG/0.05 ML INTRAVITREAL SOLUTION
Lodi, OH
See all hospitals reporting HCPCS J2777 →Price type
Lodi Community Hospital’s median price of $94.0k is 218288% above the median hospital's median price ($43), higher than 100% of the 1,222 hospitals reporting HCPCS J2777. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 28 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 | Anthem medicare advantage facility · fee schedule · outpatient | $33 | $33 | — | — | — | $33 – $33 |
| 2 | Optum all products va facility · fee schedule · both | $34 | $34 | — | — | — | $34 – $34 |
| 3 | Optum medicare advantage transplant facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 4 | Optum managed medicaid transplant facility · case rate · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 5 | Caresource managed medicaid facility · case rate · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 6 | Anthem managed medicaid facility · case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Molina managed medicaid facility · case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 8 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 9 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $47.8k | $47.8k | — | — | — | $47.8k – $47.8k |
| 10 | Humana medicare advantage hmo facility · percent of total billed charges · outpatientfrom % of charges | $50.7k | $50.7k | — | — | — | $50.7k – $50.7k |
| 11 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $50.7k | $50.7k | — | — | — | $50.7k – $50.7k |
| 12 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.1k | $54.1k | — | — | — | $54.1k – $54.1k |
| 13 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $61.0k | $61.0k | — | — | — | $61.0k – $61.0k |
| 14 | Anthem hpn facility · percent of total billed charges · inpatientfrom % of charges | $92.3k | $92.3k | — | — | — | $92.3k – $92.3k |
| 15 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $95.6k | $95.6k | — | — | — | $95.6k – $95.6k |
| 16 | Aetna acop facility · percent of total billed charges · bothfrom % of charges | $96.0k | $96.0k | — | — | — | $96.0k – $96.0k |
| 17 | Anthem hpn facility · percent of total billed charges · outpatientfrom % of charges | $102.3k | $102.3k | — | — | — | $102.3k – $102.3k |
| 18 | Cigna all products facility · percent of total billed charges · bothfrom % of charges | $107.3k | $107.3k | — | — | — | $107.3k – $107.3k |
| 19 | Anthem ppo/hmo facility · percent of total billed charges · inpatientfrom % of charges | $108.6k | $108.6k | — | — | — | $108.6k – $108.6k |
| 20 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $111.9k | $111.9k | — | — | — | $111.9k – $111.9k |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $114.2k | $114.2k | — | — | — | $114.2k – $114.2k |
| 22 | Aetna asa_whirlpool_peia facility · percent of total billed charges · bothfrom % of charges | $116.1k | $116.1k | — | — | — | $116.1k – $116.1k |
| 23 | UnitedHealthcare all products facility · percent of total billed charges · bothfrom % of charges | $116.9k | $116.9k | — | — | — | $116.9k – $116.9k |
| 24 | Aetna international facility · percent of total billed charges · bothfrom % of charges | $117.3k | $117.3k | — | — | — | $117.3k – $117.3k |
| 25 | Anthem ppo/hmo facility · percent of total billed charges · outpatientfrom % of charges | $120.3k | $120.3k | — | — | — | $120.3k – $120.3k |
Last updated: Jun 15, 2026
See Faricimab injection (Vabysmo), per 0.1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.