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Hydroxyprogesterone Caproate (Makena) Injection

Oregon rates for HCPCS J1726

Injection, hydroxyprogesterone caproate, (Makena), 10 mg

Rates data updated July 2026.

How much does Hydroxyprogesterone Caproate (Makena) Injection cost?

$19.95per 10 mg

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $19.95 for each 10 mg of this drug. The price depends on where it is billed: about $19.95 from a physician practice, and about $42.66 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 10 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$19.95
At a hospital outpatient department
$42.66

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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 6 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$19.95$19.95 to $22.39
FacilityA hospital or hospital-owned outpatient department$42.66$27.54 to $48.98

How much rates vary

Facilitymedian $43 · 10th to 90th $20 to $49Professionalmedian $20 · 10th to 90th $19 to $51
$20$50facility $43professional $20

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$48.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$19.95
Typical High
$51.29
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$26.92
Typical High
$28.84
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Providence
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$28.84
Typical High
$57.54
Providence
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$70.79
Typical High
$79.43
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$28.84
Typical High
$52.48
United
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50

Where Oregon sits

The same service costs 1.8 times more in Kentucky than in Indiana. 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.

Oregon· 39th of 51

$19.95

KY $34.67IN $19.50

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.