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 Presbyterian’s median price of $201 is 100% above the median hospital's median price ($101), higher than 88% 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, 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 medicare advantage facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 4 | Aetna chip/medicaid facility · fee schedule · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 6 | Cigna medicare transplant facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 7 | Highmark medicare facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 8 | UnitedHealthcare medicare facility · fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 9 | Aetna medicare facility · fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 10 | Highmark managed care - social mission facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 11 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 12 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | — | — | — | $145 – $145 |
| 13 | Highmark managed care facility · fee schedule · outpatient | $147 | $147 | — | — | — | $147 – $147 |
| 14 | Highmark commercial - indemnity facility · fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
| 15 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $154 | $154 | — | — | — | $154 – $154 |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 17 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $267 | $267 | — | — | — | $267 – $267 |
| 18 | Highmark upmc emergent facility · fee schedule · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 19 | MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 20 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $306 | $306 | — | — | — | $306 – $306 |
| 21 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
| 22 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $325 | $325 | — | — | — | $325 – $325 |
Last updated: Mar 6, 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.