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
ARIPIPRAZOLE ER (2 MONTH) 960 MG/3.2 ML SUSP, EXTENDED REL IM SYRINGE
Utica, NY
See all hospitals reporting HCPCS J0402 →Price type
MVHS, Inc.’s median price of $11.6k is 161225% above the median hospital's median price ($7), higher than 98% of the 1,176 hospitals reporting HCPCS J0402. 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, 9 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 | Cigna mvp and cigna commercial fee schedule · both | $7.1k | $7.1k | $1.0k | 14% | — | $6.1k – $8.1k |
| 2 | UnitedHealthcare uhc commercial fee schedule · both | $8.1k | $8.1k | $1.2k | 14% | — | $7.0k – $9.3k |
| 3 | UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges | $15.3k | $15.3k | $1.3k | 8% | — | $14.0k – $16.6k |
| 4 | Aetna aetna commercial percent of total billed charges · bothfrom % of charges | $22.8k | $22.8k | $1.9k | 8% | — | $20.8k – $24.7k |
| 5 | Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $26.0k | $26.0k | $2.2k | 8% | — | $23.8k – $28.2k |
| 6 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $26.0k | $26.0k | $2.2k | 8% | — | $23.8k – $28.2k |
| 7 | Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges | $26.0k | $26.0k | $2.2k | 8% | — | $23.8k – $28.2k |
| 8 | Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges | $26.0k | $26.0k | $2.2k | 8% | — | $23.8k – $28.2k |
| 9 | Humana humana hmo/pos percent of total billed charges · bothfrom % of charges | $28.6k | $28.6k | $2.4k | 8% | — | $26.2k – $31.1k |
Last updated: Aug 7, 2026
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