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Plazomicin Injection, 5 mg

Texas rates for HCPCS J0291

Injection, plazomicin, 5 mg

Rates data updated October 2026.

How much does Plazomicin Injection, 5 mg cost?

$3.72per 5 mg

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $3.72 for each 5 mg of this drug. The price depends on where it is billed: about $3.55 from a physician practice, and about $7.59 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
$7.59

The same drug, in the same amount, costs 114% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 8 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 $3.55
FacilityA hospital or hospital-owned outpatient department$7.59$4.37 to $11.22

How much rates vary

Facilitymedian $8 · 10th to 90th $4 to $17Professionalmedian $4 · 10th to 90th $4 to $4
$5$10$20facility $8professional $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
$3.55
Median
$5.62
Typical High
$7.59
Aetna
Setting
Facility
Modifier
52 · Reduced service
Typical Low
$1.78
Median
$2.82
Typical High
$3.80
Aetna
Setting
Facility
Modifier
53 · Discontinued
Typical Low
$0.71
Median
$1.12
Typical High
$1.51
Aetna
Setting
Facility
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.83
Typical High
$1.15
Aetna
Setting
Facility
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.56
Typical High
$0.76
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.89
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.78
Median
$1.78
Typical High
$1.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.71
Median
$0.71
Typical High
$0.78
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.52
Typical High
$0.58
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.36
Typical High
$0.39
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$8.51
Typical High
$16.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$6.61
Typical High
$11.22
Cigna
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Moda Health
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$4.57
Typical High
$8.51
Moda Health
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.89
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.78
Median
$1.78
Typical High
$1.82
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.71
Median
$0.71
Typical High
$0.72
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.52
Median
$0.52
Typical High
$0.55
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.35
Median
$0.35
Typical High
$0.37
Molina
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Providence
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$5.01
Typical High
$30.20
Providence
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
United
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
United
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$3.55
Median
$3.55
Typical High
$3.55

Where Texas 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.

Texas· 15th of 51

$3.72

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.