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Plazomicin Injection, 5 mg

Illinois rates for HCPCS J0291

Injection, plazomicin, 5 mg

Rates data updated October 2026.

How much does Plazomicin Injection, 5 mg cost?

$3.55per 5 mg

Typical negotiated rate. In Illinois, October 2026.

Insurers have agreed to pay about $3.55 for each 5 mg of this drug. The price depends on where it is billed: about $3.55 from a physician practice, and about $7.08 from a hospital or other facility.

Work out the cost of a dose

This drug is priced per 5 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$3.55
At a hospital outpatient department
$7.08

The same drug, in the same amount, costs 100% more 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.55$3.55 to $3.63
FacilityA hospital or hospital-owned outpatient department$7.08$4.90 to $9.33

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $14Professionalmedian $4 · 10th to 90th $3 to $7
$5$10$20facility $7professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$3.55
Typical High
$13.18
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.78
Median
$1.78
Typical High
$1.78
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.71
Median
$0.71
Typical High
$0.71
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.35
Typical High
$0.35
BCBS Illinois
Setting
Facility
Modifier
None
Typical Low
$9.33
Median
$12.59
Typical High
$27.54
Cigna
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$7.08
Typical High
$8.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Hally Health
Setting
Professional
Modifier
None
Typical Low
$3.47
Median
$4.57
Typical High
$11.22
Hally Health
Setting
Professional
Modifier
None
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
United
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$7.94
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.72

Where Illinois sits

The same service costs 1.7 times more in Arizona than in Illinois. 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.

Illinois· 51st of 51

$3.55

AZ $6.03IL $3.55

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.