Injection of cipaglucosidase alfa, 5 mg at St Luke's Methodist 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.

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, cipaglucosidase, 5 mg

Cedar Rapids, IA

See all hospitals reporting HCPCS J1203 →

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $90 is 11% below the median hospital's median price ($101), higher than 9% of the 1,118 hospitals reporting HCPCS J1203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1203 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 5 payers, 17 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 hmo fee schedule · both	$88	$88	—	—	—	$88 – $88
2	UnitedHealthcare ppo fee schedule · both	$88	$88	—	—	—	$88 – $88
3	UnitedHealthcare hmo fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
4	UnitedHealthcare ppo fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
5	Wellmark commercial fee schedule · both	$90	$90	—	—	—	$90 – $90
6	Wellmark commercial fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
7	Wellmark hmo fee schedule · both	$90	$90	—	—	—	$90 – $90
8	Wellmark hmo fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
9	Wellmark ppo fee schedule · both	$90	$90	—	—	—	$90 – $90
10	Wellmark ppo fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
11	Aetna medicare advantage case rate · outpatient	$92	$92	—	—	—	$92 – $92
12	Molina medicare advantage case rate · outpatient	$92	$92	—	—	—	$92 – $92
13	Wellmark medicare advantage case rate · outpatient	$92	$92	—	—	—	$92 – $92
14	Humana medicare advantage case rate · outpatient	$94	$94	—	—	—	$94 – $94
15	UnitedHealthcare medicare advantage case rate · outpatient	$94	$94	—	—	—	$94 – $94
16	Aetna hmo fee schedule · outpatient	$166	$166	—	—	—	$166 – $166
17	Aetna ppo fee schedule · outpatient	$166	$166	—	—	—	$166 – $166

Last updated: Jan 28, 2026

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