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
CRIZANLIZUMAB-TMCA 10 MG/ML INTRAVENOUS SOLUTION
Hanover, PA
See all hospitals reporting HCPCS J0791 →Price type
UPMC Hanover’s median price of $151 is 14% below the median hospital's median price ($175), higher than 41% of the 1,423 hospitals reporting HCPCS J0791. 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 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $47 | $47 | — | — | — | $47 – $47 |
| 2 | Highmark medicare facility · fee schedule · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 3 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 4 | Humana medicare facility · fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 5 | Aetna medicare facility · fee schedule · outpatient | $135 | $135 | — | — | — | $135 – $135 |
| 6 | Cigna medicare facility · fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 7 | UnitedHealthcare medicare facility · fee schedule · outpatient | $139 | $139 | — | — | — | $139 – $139 |
| 8 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $139 | $139 | — | — | — | $139 – $139 |
| 9 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $147 | $147 | — | — | — | $147 – $147 |
| 10 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $151 | $151 | — | — | — | $151 – $151 |
| 11 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 12 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $167 | $167 | — | — | — | $167 – $167 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $178 | $178 | — | — | — | $178 – $178 |
| 14 | Cigna commercial facility · fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $189 | $189 | — | — | — | $189 – $189 |
| 16 | Carefirst commercial facility · percent of total billed charges · inpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 17 | Carefirst commercial facility · percent of total billed charges · outpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $208 | $208 | — | — | — | $208 – $208 |
| 20 | Highmark medicaid facility · fee schedule · outpatient | $281 | $281 | $149 | 53% | — | $132 – $430 |
| 21 | Highmark commercial facility · fee schedule · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 22 | UnitedHealthcare commercial facility · fee schedule · outpatient | $893 | $893 | — | — | — | $893 – $893 |
Last updated: Mar 6, 2026
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