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
ETEPLIRSEN 50 MG/ML INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J1428 →Price type
Mercy Hospital Springfield’s median price of $4.3k is 1810% above the median hospital's median price ($226), higher than 93% of the 1,054 hospitals reporting HCPCS J1428. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 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 | Humana hb sprg humana medicare 100% facility · other · outpatient | $164 | $164 | — | — | — | $164 – $164 |
| 2 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $169 | $169 | — | — | — | $169 – $169 |
| 3 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $2.1k | 67% | — | $1.1k – $5.4k |
| 4 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $2.1k | 67% | — | $1.1k – $5.4k |
| 5 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | $2.1k | 67% | — | $1.1k – $5.4k |
| 6 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $4.8k | $4.8k | $3.2k | 67% | — | $1.6k – $8k |
| 7 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $4.8k | $4.8k | $3.2k | 67% | — | $1.6k – $8k |
| 8 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $4.8k | $4.8k | $3.2k | 67% | — | $1.6k – $8k |
| 9 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $4.8k | $4.8k | $3.2k | 67% | — | $1.6k – $8k |
| 10 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $6.4k | $6.4k | $4.2k | 67% | — | $2.1k – $10.6k |
| 11 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $6.5k | $6.5k | $4.4k | 67% | — | $2.2k – $10.9k |
| 12 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $7.0k | $7.0k | $4.7k | 67% | — | $2.3k – $11.7k |
| 13 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $7.0k | $7.0k | $4.7k | 67% | — | $2.3k – $11.7k |
| 14 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $7.0k | $7.0k | $4.7k | 67% | — | $2.3k – $11.7k |
| 15 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | $5.0k | 67% | — | $2.5k – $12.6k |
| 16 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $8.4k | $8.4k | $5.6k | 67% | — | $2.8k – $14.0k |
| 17 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $8.4k | $8.4k | $5.6k | 67% | — | $2.8k – $14.0k |
| 18 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $8.4k | $8.4k | $5.6k | 67% | — | $2.8k – $14.0k |
| 19 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $8.4k | $8.4k | $5.6k | 67% | — | $2.8k – $14.0k |
| 20 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $8.5k | $8.5k | $5.7k | 67% | — | $2.8k – $14.2k |
| 21 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $8.5k | $8.5k | $5.7k | 67% | — | $2.8k – $14.2k |
| 22 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.0k | $6.0k | 67% | — | $3.0k – $15.0k |
| 23 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $10.9k | $10.9k | $7.3k | 67% | — | $3.6k – $18.2k |
| 24 | Cigna hb sprg cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $11.1k | $11.1k | $7.4k | 67% | — | $3.7k – $18.5k |
| 25 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | $7.8k | 67% | — | $3.9k – $19.6k |
Last updated: Jun 4, 2026
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