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(AZACTAM) 2 GM VIAL
Kane, PA
See all hospitals reporting HCPCS J0457 →Price type
UPMC Kane’s median price of $107 is 153% above the median hospital's median price ($42), higher than 70% 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: 6 payers, 20 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 medicaid facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Highmark commercial - indemnity facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 4 | Highmark managed care facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 5 | Highmark managed care - social mission facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 6 | UnitedHealthcare commercial facility · fee schedule · outpatient | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 10 | Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $99 | $99 | — | — | — | $99 – $99 |
| 11 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $102 | $102 | — | — | — | $102 – $102 |
| 12 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $103 | $103 | — | — | — | $103 – $103 |
| 13 | UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | — | — | — | $104 – $104 |
| 14 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 15 | UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges | $109 | $109 | — | — | — | $109 – $109 |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 17 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 18 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 19 | MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $201 | $201 | — | — | — | $201 – $201 |
| 20 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
Last updated: Mar 6, 2026
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