Protamine sulfate for dialysis, per 50 mg

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

Protamine sulfate per 50 mg

Payers reporting HCPCS A4802

Payer pricing summary

Low

Average

$13

Median

$12

High

$34

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +6 other terms	172	$25	$42	$30	73%	—	$12 – $116
2	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	130	$19	$22	$16	73%	—	$0 – $87
3	Aetna fee schedule · outpatient · +7 other terms	108	$21	$26	$16	60%	—	$9 – $138
4	Humana fee schedule · outpatient · +5 other terms	71	$11	$18	$11	60%	—	$4 – $33
5	Anthem fee schedule · outpatient · +6 other terms	34	$15	$23	$10	44%	—	$13 – $63
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$26	$24	$8	33%	—	$10 – $41
7	UnitedHealthcare fee schedule · both · +7 other terms	26	$2	$4	$2	62%	—	$2 – $9
8	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
9	Molina facility · case rate · outpatient · +2 other terms	15	$15	$17	$4	23%	—	$11 – $26
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$10	$8	$5	61%	—	$1 – $12
11	Bcbs Nj fee schedule · outpatient	12	$13	$13	—	—	—	$13 – $13
12	Highmark fee schedule · outpatient · +3 other terms	12	$11	$11	$1	8%	—	$11 – $17
13	Optum facility · case rate · outpatient · +1 other terms	11	$14	$16	$4	22%	—	$13 – $24
14	Medica fee schedule · outpatient · +4 other terms	10	$7	$7	$2	26%	—	$4 – $9
15	Ucare fee schedule · both	9	$7	$7	$0	5%	—	$6 – $7
16	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$11	$11	—	—	—	$11 – $11
17	Excellus facility · fee schedule · outpatient	5	$11	$12	$8	63%	—	$7 – $31
18	First Health facility · fee schedule · outpatient · +1 other terms	4	$33	$33	—	—	—	$33 – $33
19	Amerihealth Caritas professional · fee schedule · outpatient	3	$8	$8	$0	2%	—	$8 – $8
20	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$8	$8	—	—	—	$8 – $8
21	Kaiser fee schedule · both · +1 other terms	2	$13	$13	—	—	—	$13 – $13
22	Sanford Health Plan facility · fee schedule · outpatient	2	$7	$7	—	—	—	$7 – $7
23	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$4	$4	—	—	—	$4 – $4
24	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
25	Bcbs Nc facility · fee schedule · outpatient	1	$13	$13	$0	2%	—	$13 – $13

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