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., EMICIZUMAB-KXWH 0.5 MG
Jasper, TX
See all hospitals reporting HCPCS J7170 →Price type
Southeast Texas - Jasper Memorial’s median price of $56 is 18% below the median hospital's median price ($68), higher than 20% of the 1,240 hospitals reporting HCPCS J7170. 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 | $52 | $52 | — | — | — | $52 – $52 |
| 2 | UnitedHealthcare hix fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Aetna mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | Bcbs Tx mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Humana gold choice mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Molina medicare adv mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 7 | UnitedHealthcare mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 8 | WellCare mm fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 9 | Devoted mm fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 10 | Aetna new business fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 11 | Aetna epo fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 12 | Aetna hmo fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Aetna pos fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 14 | Aetna ppo fee schedule · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 15 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 16 | Bcbs Tx heb fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 17 | Bcbs Tx hmo fee schedule · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $247 | $247 | — | — | — | $247 – $247 |
| 19 | Bcbs Tx traditional fee schedule · outpatient | $254 | $254 | — | — | — | $254 – $254 |
Last updated: Jan 13, 2026
See Emicizumab injection, 0.5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.