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
ARSENIC TRIOXIDE 2 MG/ML INTRAVENOUS SOLUTION
Goldsboro, NC
See all hospitals reporting HCPCS J9017 →Price type
Wayne Memorial Hospital’s median price of $1.0k is 3948% above the median hospital's median price ($26), higher than 90% of the 1,768 hospitals reporting HCPCS J9017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 21 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 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Optum vaccn facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Humana medicare hmo facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Humana medicare ppo facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Cigna medicare advantage facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 6 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 8 | UnitedHealthcare commercial facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 9 | UnitedHealthcare individual exchange facility · fee schedule · outpatient | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 11 | Blue Cross Blue Shield blue select/blue value/hmo/ppo facility · fee schedule · outpatient | $725 | $725 | — | — | — | $725 – $725 |
| 12 | Amerihealth Caritas managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | UnitedHealthcare chip/medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | WellCare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Aetna north carolina preferred facility · percent of total billed charges · outpatientfrom % of charges | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 17 | UnitedHealthcare individual exchange facility · percent of total billed charges · inpatientfrom % of charges | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 19 | Medcost commercial/ultra facility · percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 20 | Medcost commercial/ultra facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 21 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
Last updated: Jun 18, 2026
See Arsenic trioxide injection, per 1 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.