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
ALPHA-1-PROTEINASE INHIBITOR (GLASSIA) 1000 MG/50 ML
York, PA
See all hospitals reporting HCPCS J0257 →Price type
UPMC Memorial’s median price of $128 is 1734% above the median hospital's median price ($7), higher than 91% of the 1,352 hospitals reporting HCPCS J0257. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 19 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 | $5 | $5 | — | — | — | $5 – $5 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 4 | Cigna medicare facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 5 | UnitedHealthcare medicare facility · fee schedule · outpatient | $6 | $6 | — | — | — | $6 – $6 |
| 6 | Blue Cross Blue Shield chip facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 7 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 8 | Cigna commercial facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $12 | $12 | $6 | 53% | — | $6 – $19 |
| 10 | Highmark commercial facility · fee schedule · outpatient | $20 | $20 | — | — | — | $20 – $20 |
| 11 | UnitedHealthcare commercial facility · fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 12 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 13 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $264 | $264 | — | — | — | $264 – $264 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $307 | $307 | — | — | — | $307 – $307 |
| 15 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $312 | $312 | — | — | — | $312 – $312 |
| 16 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $364 | $364 | — | — | — | $364 – $364 |
| 17 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $394 | $394 | — | — | — | $394 – $394 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $544 | $544 | — | — | — | $544 – $544 |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $544 | $544 | — | — | — | $544 – $544 |
Last updated: Mar 6, 2026
See Alpha-1 proteinase inhibitor injection, 10 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.