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
Inj, cipaglucosidase, 5 mg
Jasper, TX
See all hospitals reporting HCPCS J1203 →Price type
Southeast Texas - Jasper Memorial’s median price of $96 is 4% below the median hospital's median price ($101), higher than 45% of the 1,115 hospitals reporting HCPCS J1203. 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, 19 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 all payer fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 3 | Aetna mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 5 | Humana gold choice mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 8 | WellCare mm fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 9 | Devoted mm fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 10 | Aetna new business fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 11 | Aetna epo fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 12 | Aetna hmo fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 13 | Aetna pos fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Aetna ppo fee schedule · outpatient | $178 | $178 | — | — | — | $178 – $178 |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $378 | $378 | — | — | — | $378 – $378 |
| 16 | Bcbs Tx heb fee schedule · outpatient | $416 | $416 | — | — | — | $416 – $416 |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $416 | $416 | — | — | — | $416 – $416 |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $476 | $476 | — | — | — | $476 – $476 |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $490 | $490 | — | — | — | $490 – $490 |
Last updated: Jan 13, 2026
See Injection of cipaglucosidase alfa, 5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.