Aripiprazole injection (Abilify Maintena), per 1 mg at Samaritan Hospital

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.

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Generated: October 20, 2026

Original text from hospital filings

PR Aripiprazole Injection 1 Mg

Troy, NY

See all hospitals reporting HCPCS J0401 →

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How this price compares nationally

Samaritan Hospital’s median price of $2.4k is 20841% above the median hospital's median price ($11), higher than 80% of the 1,601 hospitals reporting HCPCS J0401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0401 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 126 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	Humana tricare professional · fee schedule · inpatient	$7	$7	—	—	—	$7 – $7
2	Humana tricare professional · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
3	Tricare tricare professional · fee schedule · inpatient	$7	$7	—	—	—	$7 – $7
4	Tricare tricare professional · fee schedule · outpatient	$7	$7	—	—	—	$7 – $7
5	Anthem empire bcbs medicare advantage facility · other · both	$7	$7	—	—	—	$7 – $7
6	UnitedHealthcare united healthcare medicare advantage facility · other · both	$7	$7	—	—	—	$7 – $7
7	Aetna aetna medicare advantage facility · other · both	$8	$8	—	—	—	$8 – $8
8	WellCare wellcare medicare advantage facility · other · both	$8	$8	—	—	—	$8 – $8
9	Excellus blue shield of ne new york medicare adv facility · other · both	$8	$8	—	—	—	$8 – $8
10	Highmark blue shield of ne new york medicare adv facility · other · both	$8	$8	—	—	—	$8 – $8
11	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
12	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
13	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
14	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
15	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
16	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
17	Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
18	Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
19	Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
20	Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
21	Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
22	First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
23	Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
24	Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10
25	Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$10	$10	—	—	—	$10 – $10

Page 1 of 6 · 126 rates

Last updated: Mar 31, 2026

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