Injection of treosulfan, 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

Inj, treosulfan, 50 mg

Aetna pricing summary

Low

$17

Average

$680

Median

$34

High

$3.7k

Aetna rate distribution

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87 hospital rates

#		Plans
1	ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient	2	$55	$55	$22	40%	—	$33 – $78
2	ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient	2	$56	$56	$23	42%	—	$33 – $79
3	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient	1	$5.4k	$5.4k	—	—	—	$5.4k – $5.4k
4	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges	3	$106	$97	$33	34%	—	$50 – $149
5	ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges	6	$84	$83	$36	43%	—	$40 – $149
6	Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient	1	$32	$32	—	—	—	$32 – $32
7	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
8	Boulder Community Health Lafayette, CO professional · fee schedule · both	2	$29	$38	$12	32%	—	$29 – $55
9	CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient	2	$57	$57	$24	43%	—	$33 – $81
10	COLUMBIA MEMORIAL HOSPITAL Hudson, NY facility · fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32
11	COMMUNITY MEMORIAL HOSPITAL Hill, VA case rate · outpatient	1	$7.2k	$7.2k	—	—	—	$7.2k – $7.2k
12	COMMUNITY MEMORIAL HOSPITAL Hill, VA fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
13	Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient	1	$32	$32	—	—	—	$32 – $32
14	Central Iowa Hospital Corporation West Des Moines, IA case rate · outpatient	1	$32	$32	—	—	—	$32 – $32
15	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$3.4k	$3.4k	—	—	—	$3.4k – $3.4k
16	Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient	1	$30	$30	—	—	—	$30 – $30
17	Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · bothfrom % of charges	2	$97	$97	$21	21%	—	$76 – $117
18	Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · inpatientfrom % of charges	1	$76	$76	—	—	—	$76 – $76
19	Doctors’ Hospital of Williamsburg Williamsburg, VA fee schedule · outpatient	2	$3.3k	$3.3k	$3.2k	99%	—	$32 – $6.5k
20	GLENS FALLS HOSPITAL INC Falls, NY facility · fee schedule · outpatient	2	$56	$56	$24	43%	—	$32 – $80
21	GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient	2	$50	$50	$17	34%	—	$33 – $67
22	Gottlieb Memorial Hospital Melrose Park, IL facility · fee schedule · outpatient	1	$33	$33	—	—	—	$33 – $33
23	Grinnell Regional Medical Center Grinnell, IA case rate · outpatient	1	$32	$32	—	—	—	$32 – $32
24	HMH HOSPITALS CORPORATION Red Bank, NJ facility · fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
25	HMH HOSPITALS CORPORATION Edison, NJ facility · fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31

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HCPCS C9175