Ibalizumab injection, 10 mg at Southeast Texas - Jasper Memorial

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

INJ., IBALIZUMAB-UIYK, 10 MG

Jasper, TX

See all hospitals reporting HCPCS J1746 →

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How this price compares nationally

Southeast Texas - Jasper Memorial’s median price of $83 is 7% below the median hospital's median price ($90), higher than 41% of the 1,198 hospitals reporting HCPCS J1746. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1746 at Southeast Texas - Jasper Memorial

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	$77	$77	—	—	—	$77 – $77
2	UnitedHealthcare hix fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
3	Aetna mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
4	Bcbs Tx mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Humana gold choice mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
6	Molina medicare adv mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
7	UnitedHealthcare mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
8	WellCare mm fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
9	Devoted mm fee schedule · outpatient	$84	$84	—	—	—	$84 – $84
10	Aetna new business fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
11	Aetna epo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
12	Aetna hmo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
13	Aetna pos fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
14	Aetna ppo fee schedule · outpatient	$153	$153	—	—	—	$153 – $153
15	Bcbs Tx blue advantage hmo fee schedule · outpatient	$246	$246	—	—	—	$246 – $246
16	Bcbs Tx heb fee schedule · outpatient	$271	$271	—	—	—	$271 – $271
17	Bcbs Tx hmo fee schedule · outpatient	$271	$271	—	—	—	$271 – $271
18	Bcbs Tx ppo fee schedule · outpatient	$310	$310	—	—	—	$310 – $310
19	Bcbs Tx traditional fee schedule · outpatient	$319	$319	—	—	—	$319 – $319

Last updated: Jan 13, 2026

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