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
ELOTUZUMAB 300 MG INTRAVENOUS SOLUTION|RX AMT DISCARD/NOT ADMIN TO PT
Ozark, MO
See all hospitals reporting HCPCS J9176 →Price type
Mercy Hospital Springfield’s median price of $3.8k is 28582% above the median hospital's median price ($13), higher than 85% of the 1,628 hospitals reporting HCPCS J9176. 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, 37 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 | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Blue Cross Blue Shield hb sprg medicare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Cigna hb sprg medicare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Humana hb sprg humana medicare 100% facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Medica hb sprg medicare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 6 | Medicare hb sprg medicare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Tricare hb sprg tricare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 8 | UnitedHealthcare hb sprg medicare facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 9 | UnitedHealthcare hb sprg uhc mcr 100% facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 10 | WellCare hb sprg & lebn wellcare mcr 103% facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 11 | Devoted hb sprg devoted health medicare advantage 104% w/seq facility · other · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 12 | Blue Cross Blue Shield hb sprg missouri care plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $264 | 14% | — | $1.6k – $2.1k |
| 13 | Medicaid hb sprg mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $264 | 14% | — | $1.6k – $2.1k |
| 14 | UnitedHealthcare hb sprg uhc mo medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | $264 | 14% | — | $1.6k – $2.1k |
| 15 | Aetna hb sprg ok medicaid facility · fee schedule · outpatient | $2.7k | $2.7k | $386 | 14% | — | $2.3k – $3.1k |
| 16 | Humana hb sprg ok medicaid facility · fee schedule · outpatient | $2.7k | $2.7k | $386 | 14% | — | $2.3k – $3.1k |
| 17 | Medicaid hb sprg ok medicaid facility · fee schedule · outpatient | $2.7k | $2.7k | $386 | 14% | — | $2.3k – $3.1k |
| 18 | Blue Cross Blue Shield hb sprg kancare healthy blue medicaid facility · fee schedule · outpatient | $2.8k | $2.8k | $402 | 14% | — | $2.4k – $3.2k |
| 19 | Medica hb sprg lebn medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | $522 | 14% | — | $3.1k – $4.2k |
| 20 | Ambetter hb sprg ambetter exchange mo facility · percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.8k | $538 | 14% | — | $3.2k – $4.3k |
| 21 | Anthem hb sprg anthem blue access facility · fee schedule · outpatient | $4.0k | $4.0k | $575 | 14% | — | $3.5k – $4.6k |
| 22 | Blue Cross Blue Shield hb sprg anthem blue access facility · fee schedule · outpatient | $4.0k | $4.0k | $575 | 14% | — | $3.5k – $4.6k |
| 23 | Blue Cross Blue Shield hb sprg anthem pathways exchange facility · fee schedule · outpatient | $4.0k | $4.0k | $575 | 14% | — | $3.5k – $4.6k |
| 24 | Optum hb sprg uhc all payer facility · fee schedule · outpatient | $4.1k | $4.1k | $585 | 14% | — | $3.5k – $4.7k |
| 25 | UnitedHealthcare hb sprg uhc all payer facility · fee schedule · outpatient | $4.1k | $4.1k | $585 | 14% | — | $3.5k – $4.7k |
Last updated: Jun 4, 2026
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