Emicizumab injection, 0.5 mg at UPMC Presbyterian

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

EMICIZUMAB-KXWH 105MG/0.7ML

Pittsburgh, PA

See all hospitals reporting HCPCS J7170 →

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Pricing by billing methodology

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How this price compares nationally

UPMC Presbyterian’s median price of $196 is 189% above the median hospital's median price ($68), higher than 86% of the 1,245 hospitals reporting HCPCS J7170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J7170 at UPMC Presbyterian

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	$56	$56	—	—	—	$56 – $56
3	Highmark medicaid facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
4	Aetna chip/medicaid facility · fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
5	Amerihealth Caritas medicare facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
6	Cigna medicare transplant facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
7	Highmark medicare facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
8	UnitedHealthcare medicare facility · fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
9	Aetna medicare facility · fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
10	Highmark managed care - social mission facility · fee schedule · outpatient	$109	$109	—	—	—	$109 – $109
11	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$112	$112	—	—	—	$112 – $112
12	Highmark managed care facility · fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
13	Highmark commercial - indemnity facility · fee schedule · outpatient	$150	$150	—	—	—	$150 – $150
14	Highmark upmc emergent facility · fee schedule · outpatient	$292	$292	—	—	—	$292 – $292
15	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$14.1k	$13.3k	$9.2k	70%	—	$93 – $24.7k
16	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$15.0k	$14.1k	$9.8k	70%	—	$99 – $26.3k
17	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$26.0k	$24.4k	$17.0k	70%	—	$172 – $45.6k
18	First Health commercial facility · percent of total billed charges · outpatientfrom % of charges	$26.0k	$24.4k	$17.0k	70%	—	$172 – $45.6k
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$29.7k	$27.9k	$19.5k	70%	—	$196 – $52.1k
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$29.7k	$27.9k	$19.5k	70%	—	$196 – $52.1k
21	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$31.6k	$29.7k	$20.7k	70%	—	$208 – $55.3k
22	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$31.6k	$29.7k	$20.7k	70%	—	$208 – $55.3k

Last updated: Mar 6, 2026

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