Injection of cidofovir, 375 mg at UPMC Hanover

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CIDOFOVIR 75 MG/ML INTRAVENOUS SOLUTION

Hanover, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Hanover’s median price of $167 is 76% below the median hospital's median price ($686), higher than 1% of the 1,653 hospitals reporting HCPCS J0740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0740 at UPMC Hanover

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	Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	$5	14%	—	$28 – $37
2	Aetna aco facility · percent of total billed charges · outpatientfrom % of charges	$98	$98	$14	14%	—	$84 – $112
3	Aetna aco facility · percent of total billed charges · inpatientfrom % of charges	$104	$104	$15	14%	—	$89 – $118
4	UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges	$106	$106	$15	14%	—	$91 – $121
5	Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$17	14%	—	$101 – $134
6	Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	$17	14%	—	$101 – $134
7	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$126	$126	$18	14%	—	$108 – $143
8	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$133	$133	$19	14%	—	$114 – $152
9	Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	$21	14%	—	$126 – $167
10	Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	$21	14%	—	$126 – $167
11	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges	$147	$147	$21	14%	—	$126 – $167
12	MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges	$147	$147	$21	14%	—	$126 – $167
13	Highmark medicare facility · fee schedule · outpatient	$541	$541	—	—	—	$541 – $541
14	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
15	Humana medicare facility · fee schedule · outpatient	$546	$546	—	—	—	$546 – $546
16	Aetna medicare facility · fee schedule · outpatient	$570	$570	—	—	—	$570 – $570
17	Cigna medicare facility · fee schedule · outpatient	$574	$574	—	—	—	$574 – $574
18	UnitedHealthcare medicare facility · fee schedule · outpatient	$585	$585	—	—	—	$585 – $585
19	Cigna commercial facility · fee schedule · outpatient	$781	$781	—	—	—	$781 – $781
20	Highmark medicaid facility · fee schedule · outpatient	$1.2k	$1.2k	$628	53%	—	$557 – $1.8k
21	Highmark commercial facility · fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
22	UnitedHealthcare commercial facility · fee schedule · outpatient	$3.9k	$3.9k	—	—	—	$3.9k – $3.9k

Last updated: Mar 6, 2026

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