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 - 500 MG (INJ)
Seneca, PA
See all hospitals reporting HCPCS J0207 →Price type
UPMC Northwest’s median price of $2.3k is 55% above the median hospital's median price ($1.5k), higher than 70% 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: 5 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 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $1.3k | 66% | — | $670 – $3.3k |
| 4 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | $2.1k | 66% | — | $1.1k – $5.2k |
| 5 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | $2.1k | 66% | — | $1.1k – $5.2k |
| 6 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | $2.1k | 66% | — | $1.1k – $5.2k |
| 7 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.1k | $3.1k | $2.1k | 66% | — | $1.1k – $5.2k |
| 8 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | $2.6k | 66% | — | $1.3k – $6.5k |
| 9 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $4.6k | $4.6k | $3.0k | 66% | — | $1.6k – $7.5k |
| 10 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | $3.1k | 66% | — | $1.6k – $7.8k |
| 11 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | $3.1k | 66% | — | $1.6k – $7.8k |
| 12 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | $3.2k | 66% | — | $1.7k – $8.0k |
| 13 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $4.9k | $4.9k | $3.2k | 66% | — | $1.7k – $8.1k |
| 14 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | $3.3k | 66% | — | $1.7k – $8.2k |
| 15 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $4.9k | $4.9k | $3.3k | 66% | — | $1.7k – $8.2k |
| 16 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $5.0k | $5.0k | $3.3k | 66% | — | $1.7k – $8.3k |
| 17 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $5.1k | $5.1k | $3.4k | 66% | — | $1.7k – $8.5k |
| 18 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $5.1k | $5.1k | $3.4k | 66% | — | $1.7k – $8.5k |
| 19 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $5.5k | $5.5k | $3.6k | 66% | — | $1.9k – $9.1k |
| 20 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.5k | $3.6k | 66% | — | $1.9k – $9.1k |
| 21 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.7k | $6.7k | $4.4k | 66% | — | $2.3k – $11.1k |
| 22 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | $4.4k | 66% | — | $2.3k – $11.1k |
Last updated: Mar 6, 2026
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