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
AZTREONAM 1 GRAM SOLUTION FOR INJECTION
Hanover, PA
See all hospitals reporting HCPCS J0457 →Price type
UPMC Hanover’s median price of $18 is 58% below the median hospital's median price ($42), higher than 45% of the 1,999 hospitals reporting HCPCS J0457. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Cigna commercial facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $6 | $6 | $1 | 11% | — | $5 – $7 |
| 5 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $11 | $11 | $1 | 11% | — | $10 – $13 |
| 6 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | $2 | 11% | — | $15 – $20 |
| 7 | UnitedHealthcare commercial facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 8 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $2 | 11% | — | $16 – $22 |
| 9 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $19 | $19 | $2 | 11% | — | $17 – $22 |
| 10 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $2 | 11% | — | $18 – $24 |
| 11 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | $2 | 11% | — | $18 – $24 |
| 12 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $23 | $23 | $3 | 11% | — | $20 – $26 |
| 13 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $24 | $24 | $3 | 11% | — | $21 – $28 |
| 14 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $26 | $27 | $3 | 11% | — | $23 – $31 |
| 15 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $26 | $27 | $3 | 11% | — | $23 – $31 |
| 16 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $26 | $27 | $3 | 11% | — | $23 – $31 |
| 17 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $26 | $27 | $3 | 11% | — | $23 – $31 |
Last updated: Mar 6, 2026
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