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Alprostadil Urethral Suppository

Pennsylvania rates for HCPCS J0275

Alprostadil urethral suppository (code may be used for Medicare when drug administered under the direct supervision of a physician, not for use when drug is self-administered)

Rates data updated July 2026.

How much does Alprostadil Urethral Suppository cost?

$41.69

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $64.57 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 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$41.69$41.69 to $41.69
FacilityA hospital or hospital-owned outpatient department$64.57$41.69 to $95.50

How much rates vary

Facilitymedian $65 · 10th to 90th $42 to $117Professionalmedian $42 · 10th to 90th $41 to $63
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $65professional $42

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
Facility
Modifier
Global
Typical Low
$41.69
Median
$64.57
Typical High
$123.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$50.12
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$40.74
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$48.98
Typical High
$95.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.70
Median
$25.70
Typical High
$26.92
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$70.79
Typical High
$70.79
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$63.10
Typical High
$117.49
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$83.18
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$28.18
Median
$70.79
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$28.84
Typical High
$35.48
United
Setting
Professional
Modifier
Global
Typical Low
$28.84
Median
$70.79
Typical High
$79.43

Where Pennsylvania sits

The same service costs 2.5 times more in Minnesota than in Hawaii. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $41.69 · 12th of 51
MN $69.18HI $28.18

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.