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
Inj follitropin alfa 75 iu
Grayling, MI
See all hospitals reporting HCPCS S0126 →Price type
Munson Healthcare Grayling’s median price of $246 is 11% below the median hospital's median price ($275), higher than 27% of the 771 hospitals reporting HCPCS S0126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 6 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 | UnitedHealthcare commercial professional · fee schedule · both | $242 | $242 | — | — | — | $242 – $242 |
| 2 | UnitedHealthcare medicare advantage professional · fee schedule · both | $242 | $242 | — | — | — | $242 – $242 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $246 | $246 | — | — | — | $246 – $246 |
| 4 | Aetna commercial professional · fee schedule · both | $255 | $255 | — | — | — | $255 – $255 |
| 5 | Blue Cross Blue Shield commercial professional · fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 6 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $438 | $438 | — | — | — | $438 – $438 |
Last updated: Apr 17, 2026
See Follitropin alfa injection, 75 IU pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.