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
CABOTEGRAVIR 200 MG/ML IM 3 ML
Valhalla, NY
See all hospitals reporting HCPCS J0739 →Price type
Westchester Medical Center’s median price of $5.2k is 57417% above the median hospital's median price ($9), higher than 92% of the 1,291 hospitals reporting HCPCS J0739. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 35 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 | Tricare tricare facility · fee schedule · outpatient | $4 | $4 | $4 | 100% | — | $0 – $7 |
| 2 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 3 | Medicare medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 4 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 5 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Oscar oscar medicare facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Molina affinity by molina mcr facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 8 | Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Aetna aetna employee facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 11 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | Aetna aetna hp network facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 13 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 14 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 15 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 16 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 17 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 18 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 19 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 20 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 21 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 22 | Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 23 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 24 | UnitedHealthcare uhc commercial facility · percent of total billed charges · inpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 25 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
Last updated: Jul 28, 2026
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