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
ADALIMUMAB 40 MG/0.8 ML SUBCUTANEOUS PEN KIT
Ozark, MO
See all hospitals reporting HCPCS J0139 →Price type
Mercy Hospital Springfield’s median price of $6.3k is 2839% above the median hospital's median price ($213), higher than 84% of the 1,160 hospitals reporting HCPCS J0139. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 payers, 23 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 hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 2 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 4 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 5 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 6 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 8 | Anthem hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Anthem hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Blue Cross Blue Shield hb sprg anthem alliance facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 11 | Blue Cross Blue Shield hb sprg anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 13 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 14 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 15 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $7.2k | $7.2k | — | — | — | $7.2k – $7.2k |
| 16 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 17 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 18 | Cigna hb sprg cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 19 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 20 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 21 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 22 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 23 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
Last updated: Jun 4, 2026
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