Palifermin injection, 50 micrograms at Montefiore Medical Center

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PALIFERMIN INJECTION

Bronx, NY

See all hospitals reporting HCPCS J2425 →

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Pricing by billing methodology

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How this price compares nationally

Montefiore Medical Center’s median price of $36 is 12% below the median hospital's median price ($41), higher than 22% of the 1,223 hospitals reporting HCPCS J2425. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J2425 at Montefiore Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 49 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 mhs employees fee schedule · both	$15	$15	—	—	—	$15 – $15
2	Humana medicare midlevels fee schedule · both	$20	$20	—	—	—	$20 – $20
3	Humana medicare fee schedule · both	$24	$24	—	—	—	$24 – $24
4	Cigna cigna paraprofessionals fee schedule · both	$28	$28	—	—	—	$28 – $28
5	Aetna commercial midlevels fee schedule · both	$29	$29	—	—	—	$29 – $29
6	Blue Cross Blue Shield medicare midlevels fee schedule · both	$31	$31	—	—	—	$31 – $31
7	Cigna cigna employed physicians fee schedule · both	$33	$33	—	—	—	$33 – $33
8	UnitedHealthcare essential plan 3 & 4 fee schedule · both	$33	$33	—	—	—	$33 – $33
9	UnitedHealthcare medicaid fee schedule · both	$33	$33	—	—	—	$33 – $33
10	UnitedHealthcare medicare fee schedule · both	$33	$33	—	—	—	$33 – $33
11	Aetna commercial fee schedule · both	$34	$34	—	—	—	$34 – $34
12	Aetna medicare fee schedule · both	$36	$36	—	—	—	$36 – $36
13	Aetna medicare midlevels fee schedule · both	$36	$36	—	—	—	$36 – $36
14	Blue Cross Blue Shield essential 1 & 2 fee schedule · both	$36	$36	—	—	—	$36 – $36
15	Blue Cross Blue Shield essential 3 & 4 fee schedule · both	$36	$36	—	—	—	$36 – $36
16	Blue Cross Blue Shield medicare fee schedule · both	$36	$36	—	—	—	$36 – $36
17	Blue Cross Blue Shield medicare/dual fee schedule · both	$36	$36	—	—	—	$36 – $36
18	Cigna medicare fee schedule · both	$36	$36	—	—	—	$36 – $36
19	Cigna medicare midlevels fee schedule · both	$36	$36	—	—	—	$36 – $36
20	Medicare part b fee schedule · both	$36	$36	—	—	—	$36 – $36
21	Medicare part b - pa's & np's fee schedule · both	$36	$36	—	—	—	$36 – $36
22	Oscar commercial fee schedule · both	$36	$36	—	—	—	$36 – $36
23	Oscar medicare fee schedule · both	$36	$36	—	—	—	$36 – $36
24	WellCare medicaid specialists fee schedule · both	$36	$36	—	—	—	$36 – $36
25	UnitedHealthcare empire plan - midlevels fee schedule · both	$36	$36	—	—	—	$36 – $36

Page 1 of 2 · 49 rates

Last updated: Sep 28, 2026

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