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Methylnaltrexone Injection

Pennsylvania rates for HCPCS J2212

Injection, methylnaltrexone, 0.1 mg

Rates data updated July 2026.

How much does Methylnaltrexone Injection cost?

$1.58per 0.1 mg

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.58 for each 0.1 mg of this drug. The price depends on where it is billed: about $1.58 from a physician practice, and about $2.34 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 0.1 mg. Enter the amount given to see what insurers have agreed to pay for it.

mg
In a doctor's office or clinic
$1.58
At a hospital outpatient department
$2.34

The same drug, in the same amount, costs 48% 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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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$1.58$1.58 to $1.58
FacilityA hospital or hospital-owned outpatient department$2.34$1.58 to $3.16

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $5Professionalmedian $2 · 10th to 90th $2 to $2
$2$5$10facility $2professional $2

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
$1.48
Median
$2.34
Typical High
$4.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$1.55
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$1.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$5.62
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.58
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.32
Median
$2.51
Typical High
$4.07
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$2.40
Typical High
$4.47
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$4.07
United
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$1.55
Typical High
$2.14

Where Pennsylvania sits

The same service costs 3.0 times more in Colorado than in Kentucky. 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.

Pennsylvania· 19th of 51

$1.58

CO $2.69KY $0.91

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.