Initial 30-day medication dispensing fee

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

Dispense fee initial 30 day

Payers reporting HCPCS G0333

Payer pricing summary

Low

Average

$97

Median

$60

High

$523

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	69	$200	$312	$194	62%	—	$17 – $555
2	Aetna fee schedule · outpatient · +6 other terms	30	$27	$40	$24	60%	—	$17 – $110
3	UnitedHealthcare fee schedule · both · +6 other terms	26	$151	$142	$19	14%	—	$60 – $170
4	Anthem facility · case rate · outpatient · +4 other terms	15	$58	$63	$15	23%	—	$39 – $98
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	15	$156	$178	$87	49%	—	$0 – $270
6	Caresource facility · case rate · outpatient · +1 other terms	15	$59	$63	$14	23%	—	$39 – $100
7	Molina facility · case rate · outpatient · +1 other terms	15	$58	$63	$15	23%	—	$40 – $98
8	Wellmark fee schedule · both · +1 other terms	13	$37	$37	$3	9%	—	$37 – $57
9	Optum facility · case rate · outpatient	11	$54	$60	$13	22%	—	$49 – $89
10	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$18	$18	—	—	—	$18 – $18
11	Medical Mutual facility · fee schedule · outpatient	7	$163	$163	$42	26%	—	$96 – $243
12	Amerihealth Caritas professional · fee schedule · outpatient	3	$2	$2	$0	4%	—	$2 – $2
13	First Health professional · fee schedule · both	3	$19	$19	—	—	—	$19 – $19
14	Cigna fee schedule · both · +3 other terms	2	$146	$163	$51	31%	—	$94 – $215
15	Bcbs Il professional · fee schedule · both	1	$57	$57	—	—	—	$57 – $57
16	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
17	Bcbs Nv fee schedule · outpatient	1	$3	$3	—	—	—	$3 – $3
18	Bcbs Vt professional · fee schedule · outpatient	1	$23	$23	—	—	—	$23 – $23
19	Healthpartners facility · fee schedule · outpatient	1	$523	$523	—	—	—	$523 – $523