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
IDURSULFASE 6 MG/3 ML INTRAVENOUS SOLUTION
Ozark, MO
See all hospitals reporting HCPCS J1743 →Price type
Mercy Hospital Springfield’s median price of $4.5k is 543% above the median hospital's median price ($698), higher than 92% of the 1,281 hospitals reporting HCPCS J1743. 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, 38 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 | $548 | $548 | — | — | — | $548 – $548 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $548 | $548 | — | — | — | $548 – $548 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $564 | $564 | — | — | — | $564 – $564 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $570 | $570 | — | — | — | $570 – $570 |
| 12 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 13 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Medicaid hb sprg/jopl ark medicaid facility · fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 17 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 18 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 19 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 20 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 21 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 22 | Aetna hb sprg aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 23 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 24 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 25 | UnitedHealthcare hb sprg uhc individual exchange facility · fee schedule · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
Last updated: Jun 4, 2026
See Idursulfase injection, per milligram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.