Alatrofloxacin mesylate injection

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

Alatrofloxacin mesylate

Payers reporting HCPCS J0200

Payer pricing summary

Low

$17

Average

$80

Median

$35

High

$1.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +5 other terms	174	$32	$55	$37	68%	—	$15 – $145
2	Aetna fee schedule · outpatient · +7 other terms	104	$30	$36	$28	78%	—	$14 – $174
3	Humana fee schedule · outpatient · +5 other terms	69	$68	$106	$65	61%	—	$16 – $188
4	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	45	$58	$88	$165	186%	—	$15 – $998
5	UnitedHealthcare fee schedule · both · +6 other terms	31	$21	$25	$7	29%	—	$20 – $59
6	Anthem facility · case rate · outpatient · +4 other terms	15	$47	$52	$12	23%	—	$32 – $80
7	Caresource facility · case rate · outpatient	15	$48	$52	$12	23%	—	$32 – $82
8	Molina facility · case rate · outpatient · +1 other terms	15	$47	$52	$12	23%	—	$33 – $80
9	Aetna Better Health fee schedule · outpatient · +1 other terms	13	$17	$18	$1	6%	—	$17 – $19
10	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$1.1k	$1.1k	$317	29%	—	$597 – $1.4k
11	Highmark fee schedule · outpatient · +2 other terms	12	$19	$20	$8	40%	—	$17 – $98
12	Optum facility · case rate · outpatient · +2 other terms	11	$45	$49	$11	22%	—	$40 – $73
13	Medica fee schedule · outpatient · +4 other terms	10	$41	$41	$10	25%	—	$25 – $53
14	Ucare fee schedule · both	9	$17	$17	$0	3%	—	$16 – $17
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$19	$19	—	—	—	$19 – $19
16	First Health facility · fee schedule · outpatient	4	$50	$50	—	—	—	$50 – $50
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$23	$23	—	—	—	$23 – $23
18	Bcbs Id facility · fee schedule · outpatient	2	$24	$25	$3	10%	—	$22 – $28
19	Bcbs Vt professional · fee schedule · outpatient	2	$45	$45	$13	29%	—	$17 – $65
20	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$17	$17	—	—	—	$17 – $17
21	Bcbs Il professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
22	Bcbs Nv fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
23	Healthpartners facility · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
24	Kaiser fee schedule · outpatient · +1 other terms	1	$36	$36	—	—	—	$36 – $36
25	Magellan fee schedule · outpatient	1	$18	$18	—	—	—	$18 – $18

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