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
CIPAGLUCOSIDE ALFA-ATGA 5MG
Pittsburgh, PA
See all hospitals reporting HCPCS J1203 →Price type
UPMC Passavant - McCandless’s median price of $134 is 33% above the median hospital's median price ($101), higher than 71% of the 1,118 hospitals reporting HCPCS J1203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 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 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 2 | Highmark medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 4 | Highmark managed care - social mission facility · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 5 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 6 | Aetna medicare facility · fee schedule · outpatient | $98 | $98 | $2 | 2% | — | $96 – $100 |
| 7 | Highmark medicare facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 8 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 9 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Highmark managed care facility · fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 11 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $130 | $130 | — | — | — | $130 – $130 |
| 12 | Highmark commercial - indemnity facility · fee schedule · outpatient | $131 | $131 | — | — | — | $131 – $131 |
| 13 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 16 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | — | — | — | $191 – $191 |
| 17 | Highmark upmc emergent facility · fee schedule · outpatient | $258 | $258 | — | — | — | $258 – $258 |
| 18 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 19 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 20 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
| 21 | MultiPlan ppo (includes workers' comp) facility · percent of total billed charges · outpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
| 22 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
| 23 | MultiPlan ppo (includes workers' comp) facility · percent of total billed charges · inpatientfrom % of charges | $355 | $355 | — | — | — | $355 – $355 |
Last updated: Mar 7, 2026
See Injection of cipaglucosidase alfa, 5 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.