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
GRANISETRON (PF) 1 MG/ML (1 ML) INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J1626 →Price type
Mercy Hospital Springfield’s median price of $47 is 2248% above the median hospital's median price ($2), higher than 82% of the 1,647 hospitals reporting HCPCS J1626. 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, 26 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 kancare healthy blue medicaid facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 3 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 4 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 5 | UnitedHealthcare hb sprg uhc options ppo facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 8 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 9 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 10 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 12 | Cigna hb sprg cigna hmo facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 13 | Cigna hb sprg cigna ppo facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 14 | Anthem hb sprg anthem alliance facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Blue Cross Blue Shield hb sprg anthem alliance facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 17 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 18 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $19 | $19 | — | — | — | $19 – $19 |
| 19 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $38 | $38 | — | — | — | $38 – $38 |
| 21 | First Health hb sprg aetna first health-network access facility · percent of total billed charges · outpatientfrom % of charges | $52 | $52 | — | — | — | $52 – $52 |
| 22 | Humana hb sprg humana facility · percent of total billed charges · outpatientfrom % of charges | $63 | $63 | — | — | — | $63 – $63 |
| 23 | Blue Cross Blue Shield hb sprg anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $68 | $68 | — | — | — | $68 – $68 |
| 24 | Blue Cross Blue Shield hb sprg anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $71 | $71 | — | — | — | $71 – $71 |
| 25 | MultiPlan hb sprg phcs (mpi) facility · percent of total billed charges · outpatientfrom % of charges | $72 | $72 | — | — | — | $72 – $72 |
Last updated: Jun 4, 2026
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