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Pertuzumab Injection, per 10 mg

Ohio rates for HCPCS J9316 · Phesgo

Injection, pertuzumab, trastuzumab, and hyaluronidase-zzxf, per 10 mg

Rates data updated July 2026.

How much does Phesgo cost?

$61.66per 10 mg

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $61.66 for each 10 mg of this drug. The price depends on where it is billed: about $60.26 from a physician practice, and about $129 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
$60.26
At a hospital outpatient department
$129

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 We do not publish dosing guidance: use the amount from your own prescription or treatment plan.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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$60.26$60.26 to $72.44
FacilityA hospital or hospital-owned outpatient department$129$83.18 to $151

How much rates vary

Facilitymedian $129 · 10th to 90th $60 to $200Professionalmedian $60 · 10th to 90th $60 to $93
$100$200$500facility $129professional $60

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
$61.66
Median
$131.83
Typical High
$199.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$79.43
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$112.20
Typical High
$309.03
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$69.18
Typical High
$104.71
CareSource
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
CareSource
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$83.18
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$120.23
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$125.89
Typical High
$169.82
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$97.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$67.61
Typical High
$89.13
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$70.79
Typical High
$114.82
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$128.82
United
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$64.57
Typical High
$77.62

Where Ohio sits

Rates are fairly even across states for this service. 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.

Ohio· 24th of 51

$61.66

NY $69.18NH $60.26

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.