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
CROTALIDAE POLYVAL IMMUNE FAB 1 GRAM SOLUTION FOR INJECTION
Jasper, GA
See all hospitals reporting HCPCS J0840 →Price type
Piedmont Mountainside’s median price of $12.5k is 327% above the median hospital's median price ($2.9k), higher than 96% of the 1,783 hospitals reporting HCPCS J0840. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 12 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 united healthcare fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 2 | UnitedHealthcare united healthcare exchange fee schedule · both | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 3 | Cigna cigna fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 4 | Cigna cigna connect fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 5 | Blue Cross Blue Shield blue cross hmo percent of total billed charges · bothfrom % of charges | $8.5k | $8.5k | — | — | — | $8.5k – $8.5k |
| 6 | Blue Cross Blue Shield blue cross ppo percent of total billed charges · bothfrom % of charges | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 7 | First Health first health percent of total billed charges · bothfrom % of charges | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 8 | Aetna aetna hmo/ppo percent of total billed charges · bothfrom % of charges | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 9 | Beechstreet beechstreet percent of total billed charges · bothfrom % of charges | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 10 | Phcs phcs percent of total billed charges · bothfrom % of charges | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 11 | Kaiser kaiser percent of total billed charges · bothfrom % of charges | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
| 12 | MultiPlan multiplan percent of total billed charges · bothfrom % of charges | $16.4k | $16.4k | — | — | — | $16.4k – $16.4k |
Last updated: Jul 1, 2026
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