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
PAFOLACIANINE 3.2 MG/1.6 ML INTRAVENOUS SOLUTION
Summit, NJ
See all hospitals reporting HCPCS A9603 →Price type
Overlook Medical Center’s median price of $14.8k is 6134% above the median hospital's median price ($238), higher than 98% of the 669 hospitals reporting HCPCS A9603. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 16 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 | Anthem omc medicaid percent of total billed charges · bothfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 2 | Medicaid omc medicaid percent of total billed charges · bothfrom % of charges | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 3 | Cigna omc cigna ppo percent of total billed charges · bothfrom % of charges | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 4 | Cigna omc cigna oap percent of total billed charges · bothfrom % of charges | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 5 | Aetna Better Health omc aetna better health percent of total billed charges · bothfrom % of charges | $6.8k | $6.8k | — | — | — | $6.8k – $6.8k |
| 6 | Humana omc qualcare percent of total billed charges · bothfrom % of charges | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 7 | Oscar omc qualcare percent of total billed charges · bothfrom % of charges | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 8 | Blue Cross Blue Shield omc horizon commercial fee schedule · both | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 9 | Blue Cross Blue Shield omc horizon omnia fee schedule · both | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 10 | Kaiser phcs primary network percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 11 | Phcs phcs primary network percent of total billed charges · bothfrom % of charges | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 12 | Cigna omc cigna local plus percent of total billed charges · bothfrom % of charges | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 13 | First Health first health percent of total billed charges · bothfrom % of charges | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 14 | MultiPlan multiplan complementary network percent of total billed charges · bothfrom % of charges | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 15 | Anthem omc empire bcbsny hmo ppo percent of total billed charges · bothfrom % of charges | $26.4k | $26.4k | — | — | — | $26.4k – $26.4k |
| 16 | Anthem omc empire bcbsny indemn percent of total billed charges · bothfrom % of charges | $28.0k | $28.0k | — | — | — | $28.0k – $28.0k |
Last updated: Apr 1, 2026
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