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
ROMOSOZUMAB-AQQG 210 MG/2.34 ML(105 MG/1.17 ML X2)SUBCUTANEOUS SYRINGE
Smith, AR
See all hospitals reporting HCPCS J3111 →Price type
Mercy Hospital Fort Smith’s median price of $1.8k is 8674% above the median hospital's median price ($20), higher than 75% of the 1,843 hospitals reporting HCPCS J3111. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 16 payers, 27 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 | Aetna hb ftsm managed medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Blue Cross Blue Shield hb ftsm managed medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | First Health hb ftsm managed medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Humana hb ftsm humana mcr facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Medica hb ftsm managed medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Medicare hb ftsm medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 7 | Tricare hb ftsm tricare facility · other · outpatient | $12 | $12 | — | — | 1–10 | $12 – $12 |
| 8 | UnitedHealthcare hb ftsm managed medicare facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 9 | UnitedHealthcare hb ftsm uhc mcr 100% facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 10 | WellCare hb ftsm novasys mcr 103% facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 11 | Devoted hb ftsm devoted health mcr facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 12 | Cigna hb ftsm healthspring cigna mcr 105% facility · other · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Ambetter hb ftsm novasys ambetter exchange facility · other · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 14 | Medicaid hb ftsm mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 15 | Aetna hb ftsm ok managed medicaid facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | Humana hb ftsm ok managed medicaid facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 17 | Medicaid hb ftsm ok medicaid facility · fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Optum hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | UnitedHealthcare hb ftsm,wldar,ozkar,prsar,bnvr uhc facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Anthem hb ftsm blue cross facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | Blue Cross Blue Shield hb ftsm bcbs exchange facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 22 | Blue Cross Blue Shield hb ftsm blue cross facility · fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 23 | Cigna hb ftsm cigna facility · fee schedule · outpatient | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 24 | Humana hb ftsm humana facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 25 | MultiPlan hb ftsm,wldar,ozkar,prsar multi plan facility · percent of total billed charges · outpatientfrom % of charges | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
Last updated: Jun 8, 2026
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