Physician-supplied materials beyond the usual visit supplies

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Acetylcysteine 20% Oral Soln 4mL

Amerihealth Caritas pricing summary

Low

Average

$63

Median

$10

High

$210

Amerihealth Caritas rate distribution

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28 hospital rates

#		Plans
1	Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
2	Atrium Health Hospitals Inc Lincolnton, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
3	Atrium Health Hospitals Inc Wadesboro, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
4	BRFHH MONROE, LLC Monroe, LA other · outpatient	1	$42	$79	$100	126%	—	$5 – $401
5	Carolinas Medical Center Charlotte, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
6	Carolinas Medical Center Charlotte, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
7	Carolinas Medical Center Davidson, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
8	Carolinas Medical Center Charlotte, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
9	EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient	1	$4	$11	$17	152%	—	$2 – $50
10	Henry Ford Health System West Bloomfield, MI professional · percent of total billed charges · outpatientfrom % of charges	2	$210	$210	—	—	—	$210 – $210
11	Henry Ford Health System Plymouth, MI professional · percent of total billed charges · outpatientfrom % of charges	2	$210	$210	—	—	—	$210 – $210
12	Henry Ford Macomb Hospital Corporation Clinton Twp, MI professional · percent of total billed charges · outpatientfrom % of charges	2	$210	$210	—	—	—	$210 – $210
13	Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI professional · percent of total billed charges · outpatientfrom % of charges	2	$210	$210	—	—	—	$210 – $210
14	OCHSNER BAYOU LLC Raceland, LA other · outpatient	1	$5	$5	—	—	—	$5 – $5
15	OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA other · outpatient	1	$3	$9	$14	155%	—	$2 – $40
16	OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA other · outpatient	1	$53	$99	$126	126%	—	$6 – $505
17	St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient	1	$91	$91	—	—	—	$91 – $91
18	St Tammany Hosptial Service District No 2 Slidell, LA other · outpatient	1	$91	$91	—	—	—	$91 – $91
19	St. Frances Cabrini Hospital Alexandria, LA percent of total billed charges · outpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
20	The Charlotte Mecklenburg Hospital Authority Charlotte, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
21	The Charlotte Mecklenburg Hospital Authority Kannapolis, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
22	The Charlotte Mecklenburg Hospital Authority Waxhaw, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
23	The Charlotte Mecklenburg Hospital Authority Huntersville, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
24	The Charlotte Mecklenburg Hospital Authority Albemarle, NC fee schedule · both	1	$10	$10	—	—	—	$10 – $10
25	Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges	1	$12	$12	—	—	—	$12 – $12

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← Payers reporting CPT 99070 · Snapshot 20261111T120946Z-9134e7f7

CPT 99070