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
DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION
Utica, NY
See all hospitals reporting HCPCS J0175 →Price type
MVHS, Inc.’s median price of $2.3k is 43783% above the median hospital's median price ($5), higher than 96% of the 1,331 hospitals reporting HCPCS J0175. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | Excellus excellus bcbs medicaid fee schedule · both | $725 | $725 | — | — | — | $725 – $725 |
| 2 | Excellus excellus bcbs medicaid hmo fee schedule · both | $725 | $725 | — | — | — | $725 – $725 |
| 3 | Cigna mvp and cigna commercial fee schedule · both | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | UnitedHealthcare uhc commercial percent of total billed charges · bothfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 7 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 8 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 9 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 10 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
Last updated: Aug 7, 2026
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