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
AMIFOSTINE CRYSTALLINE 500 MG INTRAVENOUS SOLUTION
York, PA
See all hospitals reporting HCPCS J0207 →Price type
UPMC Memorial’s median price of $432 is 71% below the median hospital's median price ($1.5k), higher than 3% of the 1,269 hospitals reporting HCPCS J0207. 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, 13 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 | $157 | $157 | $57 | 36% | — | $100 – $214 |
| 2 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $324 | $324 | $118 | 36% | — | $207 – $442 |
| 3 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $377 | $377 | $137 | 36% | — | $240 – $514 |
| 4 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $383 | $383 | $139 | 36% | — | $244 – $523 |
| 5 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $446 | $446 | $162 | 36% | — | $284 – $608 |
| 6 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $484 | $484 | $176 | 36% | — | $308 – $660 |
| 7 | Highmark medicare facility · fee schedule · outpatient | $489 | $489 | — | — | — | $489 – $489 |
| 8 | Blue Cross Blue Shield chip facility · fee schedule · outpatient | $511 | $511 | — | — | — | $511 – $511 |
| 9 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $511 | $511 | — | — | — | $511 – $511 |
| 10 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $668 | $668 | $243 | 36% | — | $425 – $910 |
| 11 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $668 | $668 | $243 | 36% | — | $425 – $910 |
| 12 | Aetna medicare facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Cigna commercial facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Mar 6, 2026
See Injection of amifostine, 500 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.