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Plazomicin Injection, 5 mg

North Carolina 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 North Carolina, 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 $4.07 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
$4.07

The same drug, in the same amount, costs 15% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$3.47 to $3.55
FacilityA hospital or hospital-owned outpatient department$4.07$3.72 to $6.46

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $8Professionalmedian $4 · 10th to 90th $3 to $4
$5$10facility $4professional $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
$3.39
Median
$3.39
Typical High
$4.37
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$3.63
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.70
Median
$1.70
Typical High
$1.82
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.68
Median
$0.68
Typical High
$0.72
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.51
Median
$0.51
Typical High
$0.54
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.34
Median
$0.34
Typical High
$0.36
BCBS North Carolina
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$8.51
Typical High
$10.23
BCBS North Carolina
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.98
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.98
Median
$5.25
Typical High
$7.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$4.17
Medcost
Setting
Facility
Modifier
None
Typical Low
$3.39
Median
$3.39
Typical High
$4.17
Medcost
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$4.57

Where North Carolina 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.

North Carolina· 48th 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.