What does code J0175 cost?

Across the published hospital price files, the disclosed cash price for J0175 ranges from $2,147 to $2,147. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

J0175 is the billing code hospitals use to identify "Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

J0175

HCPCS

Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code J0175 (Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose) appears at 2 hospitals with disclosed cash prices from $2,147 to $2,147. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospital publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare J0175 prices

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Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Hospitals

Prices shown

$2,147

Lowest cash

$2,147

Highest cash

code J0175 cash price2 disclosed · 1 hospital

$2,147median ~$2,147$2,147

4 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose Inpatient & outpatient	University of Chicago Medical Center	J0175 HCPCS	—	—	—	—
Inj, donanemab-azbt, 2 mg Outpatient	University of Chicago Medical Center	J0175 HCPCS	—	—	—	—
DONANEMAB-AZBT 350 MG/20ML IV SOLN Inpatient	Penn Medicine Lancaster General Health	J0175 HCPCS	$2,147	$2,147	$612 – $2,147	—
DONANEMAB-AZBT 350 MG/20ML IV SOLN Outpatient	Penn Medicine Lancaster General Health	J0175 HCPCS	$2,147	$2,147	$4.13 – $13,500	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish J0175 prices

Open a hospital to see this code in the context of its full published prices.

University of Chicago Medical Center Penn Medicine Lancaster General Health

Code J0175: frequently asked

What does code J0175 cost?: Across the published hospital price files, the disclosed cash price for J0175 ranges from $2,147 to $2,147. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code J0175?: J0175 is the billing code hospitals use to identify "Kisunla: 1 Vial, Single-Dose In 1 Carton (0002-9401-01) / 20 Ml In 1 Vial, Single-Dose" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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