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
CERTOLIZUMAB PEGOL 400 MG/2 ML (200 MG/ML X2) SUBCUTANEOUS SYRINGE KIT
Hanover, PA
See all hospitals reporting HCPCS J0717 →Price type
UPMC Hanover’s median price of $1.4k is 16737% above the median hospital's median price ($8), higher than 73% of the 1,720 hospitals reporting HCPCS J0717. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Highmark medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Humana medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 4 | Aetna medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 7 | Cigna commercial facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $8 | $8 | $4 | 53% | — | $4 – $13 |
| 9 | Highmark commercial facility · fee schedule · outpatient | $14 | $14 | — | — | — | $14 – $14 |
| 10 | UnitedHealthcare commercial facility · fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 11 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 13 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 15 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 16 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 17 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 18 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 19 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 20 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 22 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
Last updated: Mar 6, 2026
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