Donanemab drug injection, 2 mg unit

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

DONANEMAB-AZBT 17.5 MG/ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J0175

Payer pricing summary

Low

Average

$520

Median

$309

High

$4.0k

Payer rate distribution

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#
1	Wellmark fee schedule · outpatient · +13 other terms	20	$4	$4	$0	0%	2–20	$4 – $4
2	UnitedHealthcare fee schedule · outpatient · +24 other terms	587	$7	$103	$479	466%	—	$1 – $3.8k
3	Aetna fee schedule · outpatient · +24 other terms	385	$5	$144	$576	399%	—	$1 – $4.1k
4	Cigna fee schedule · outpatient · +19 other terms	316	$6	$81	$380	470%	—	$3 – $3.0k
5	Humana fee schedule · outpatient · +20 other terms	315	$4	$111	$402	364%	—	$1 – $2.1k
6	Blue Cross Blue Shield fee schedule · outpatient · +22 other terms	294	$7	$68	$392	577%	—	$2 – $3.9k
7	WellCare fee schedule · outpatient · +15 other terms	127	$4	$16	$78	485%	—	$4 – $754
8	Molina fee schedule · outpatient · +21 other terms	124	$5	$48	$242	504%	—	$1 – $2.2k
9	Anthem fee schedule · outpatient · +19 other terms	110	$5	$27	$256	934%	—	$4 – $3.5k
10	Caresource fee schedule · outpatient · +15 other terms	77	$5	$18	$123	690%	—	$1 – $1.6k
11	Devoted fee schedule · outpatient · +9 other terms	67	$4	$32	$180	569%	—	$4 – $1.4k
12	Kaiser fee schedule · outpatient · +14 other terms	66	$6	$67	$334	498%	—	$3 – $2.6k
13	Ambetter facility · fee schedule · outpatient · +15 other terms	53	$7	$8	$2	23%	—	$4 – $10
14	Optum fee schedule · outpatient · +15 other terms	40	$4	$473	$763	161%	—	$4 – $2.5k
15	MultiPlan fee schedule · outpatient · +10 other terms	37	$3.0k	$2.3k	$1.5k	65%	—	$4 – $6.0k
16	Medica fee schedule · outpatient · +12 other terms	35	$19	$1.0k	$1.3k	124%	—	$1 – $3.3k
17	Oscar facility · fee schedule · outpatient · +13 other terms	35	$5	$6	$1	20%	—	$4 – $8
18	Medicare fee schedule · outpatient · +9 other terms	33	$4	$6	$10	177%	—	$4 – $83
19	Bcbs Tx fee schedule · outpatient · +2 other terms	31	$15	$14	$6	45%	—	$4 – $27
20	Clover fee schedule · outpatient · +5 other terms	29	$5	$15	$27	180%	—	$4 – $83
21	Highmark facility · fee schedule · outpatient · +12 other terms	28	$4	$407	$1.0k	246%	—	$4 – $2.9k
22	Healthpartners fee schedule · outpatient · +6 other terms	25	$5	$5	$0	6%	—	$4 – $5
23	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	21	$4	$82	$278	339%	—	$4 – $1.1k
24	Medical Mutual facility · fee schedule · outpatient · +5 other terms	21	$6	$14	$41	290%	—	$2 – $302
25	Tricare facility · fee schedule · outpatient · +9 other terms	20	$5	$1.2k	$1.3k	108%	—	$4 – $3.1k

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