Chloroquine hydrochloride injection, up to 250 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

Chloroquine injection

Payers reporting HCPCS J0390

Payer pricing summary

Low

Average

$43

Median

$36

High

$265

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +7 other terms	98	$22	$33	$23	70%	—	$14 – $180
2	Humana fee schedule · outpatient · +6 other terms	69	$27	$44	$25	56%	—	$15 – $76
3	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	52	$44	$67	$59	87%	—	$1 – $248
4	UnitedHealthcare fee schedule · both · +7 other terms	31	$22	$25	$7	29%	—	$21 – $61
5	Cigna facility · fee schedule · outpatient · +3 other terms	18	$24	$27	$12	43%	—	$18 – $68
6	Anthem facility · case rate · outpatient · +5 other terms	15	$47	$52	$12	23%	—	$32 – $80
7	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
8	Molina facility · case rate · outpatient · +3 other terms	15	$47	$52	$12	23%	—	$33 – $80
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$16	$12	$8	65%	—	$1 – $20
10	Optum facility · case rate · outpatient · +2 other terms	11	$45	$49	$11	22%	—	$40 – $73
11	Medica fee schedule · outpatient · +4 other terms	10	$42	$42	$11	25%	—	$25 – $54
12	Ucare fee schedule · both	9	$17	$17	$0	3%	—	$17 – $18
13	Kaiser fee schedule · outpatient · +1 other terms	8	$3	$3	$1	28%	—	$2 – $6
14	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$17	$17	—	—	—	$17 – $17
15	Bcbs La fee schedule · outpatient · +1 other terms	6	$20	$20	—	—	—	$20 – $20
16	Regence fee schedule · outpatient · +1 other terms	5	$284	$284	$46	16%	—	$217 – $338
17	First Health facility · fee schedule · outpatient · +1 other terms	4	$52	$52	—	—	—	$52 – $52
18	Bcbs Id facility · fee schedule · outpatient	3	$23	$20	$7	37%	—	$12 – $29
19	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$23	$23	—	—	—	$23 – $23
20	Bcbs Vt professional · fee schedule · outpatient	2	$46	$45	$13	29%	—	$18 – $66
21	Highmark fee schedule · outpatient · +1 other terms	2	$28	$34	$26	76%	—	$18 – $98
22	MultiPlan professional · percent of total billed charges · bothfrom % of charges	2	$17	$17	—	—	—	$17 – $17
23	Bcbs Il professional · fee schedule · both	1	$23	$23	—	—	—	$23 – $23
24	Bcbs Nv fee schedule · outpatient	1	$17	$17	—	—	—	$17 – $17
25	Healthpartners facility · fee schedule · outpatient	1	$56	$56	—	—	—	$56 – $56

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