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
ECULIZUMAB 300 MG/30 ML INTRAVENOUS SOLUTION|RX AMT DISCARD/NOT ADMIN TO PT
Ozark, MO
See all hospitals reporting HCPCS J1299 →Price type
Mercy Hospital Springfield’s median price of $9.8k is 12469% above the median hospital's median price ($78), higher than 79% of the 1,390 hospitals reporting HCPCS J1299. 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, 34 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 sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $46 | $46 | — | — | — | $46 – $46 |
| 12 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $1 | 0% | — | $4.4k – $4.4k |
| 13 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $1 | 0% | — | $4.4k – $4.4k |
| 14 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $1 | 0% | — | $4.4k – $4.4k |
| 15 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 16 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $8.6k | $8.6k | $2 | 0% | — | $8.6k – $8.6k |
| 17 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $8.9k | $8.9k | $2 | 0% | — | $8.9k – $8.9k |
| 18 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 19 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 20 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 21 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 22 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 23 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 24 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 25 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $10.3k | $10.3k | $3 | 0% | — | $10.3k – $10.3k |
Last updated: Jun 4, 2026
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