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Plazomicin Injection, 5 mg

New York rates for HCPCS J0291

Injection, plazomicin, 5 mg

Rates data updated July 2026.

How much does Plazomicin Injection, 5 mg cost?

$3.55per 5 mg

Typical negotiated rate. In New York, July 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 $4.57 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 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
$4.57

The same drug, in the same amount, costs 29% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 9 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$3.55$3.55 to $3.63
FacilityA hospital or hospital-owned outpatient department$4.57$3.55 to $5.89

How much rates vary

Facilitymedian $5 · 10th to 90th $4 to $8Professionalmedian $4 · 10th to 90th $4 to $5
$5$10$20facility $5professional $4

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
$3.55
Median
$4.90
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$8.51
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.63
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.24
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$4.68
Typical High
$5.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$14.79
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$4.27
Typical High
$12.59
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$4.37
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.63
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.57
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$5.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.72
Typical High
$8.51
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$4.17
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$3.63
Typical High
$4.17

Where New York sits

The same service costs 2.5 times more in Delaware than in Vermont. 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.

New York· 34th of 51

$3.55

DE $8.91VT $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.