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Amifostine Injection

Montana rates for HCPCS J0207

Injection, amifostine, 500 mg

Rates data updated July 2026.

How much does Amifostine Injection cost?

$1,072per 500 mg

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $1,072 for each 500 mg of this drug. The price depends on where it is billed: about $1,072 from a physician practice, and about $759 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

Work out the cost of a dose

This drug is priced per 500 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$1,072
At a hospital outpatient department
$759

The same drug, in the same amount, costs 29% less at a hospital than at a doctor's office.

Drug cost only. Giving the drug, the visit itself and any monitoring are billed on their own codes. We do not publish dosing guidance: use the amount from your own prescription or treatment plan.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,072$1,047 to $1,096
FacilityA hospital or hospital-owned outpatient department$759$676 to $1,148

How much rates vary

Facilitymedian $759 · 10th to 90th $380 to $1,738Professionalmedian $1,072 · 10th to 90th $741 to $1,096
$100$200$500$1K$2Kfacility $759professional $1,072

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,071.52
Typical High
$1,096.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$1,949.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,096.48
Typical High
$1,096.48
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$776.25
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$776.25
Providence
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$1,047.13
Typical High
$1,819.70
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$1,096.48
Typical High
$1,348.96
United
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,071.52
Typical High
$1,202.26

Where Montana sits

Rates are fairly even across states for this service. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 50th of 51

$1,072

KY $1,148NE $1,023

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.