Aztreonam injection, 1 gram

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

AZTREONAM 2 GRAM INJ SOLR [9186]

Payers reporting HCPCS J0457

Payer pricing summary

Low

Average

$129

Median

$94

High

$472

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	509	$4	$114	$231	202%	—	$0 – $5.4k
2	Cigna fee schedule · outpatient · +20 other terms	369	$5	$47	$170	361%	—	$0 – $5.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +27 other terms	266	$7	$66	$311	469%	—	$0 – $7.0k
4	Aetna fee schedule · outpatient · +25 other terms	248	$5	$87	$549	632%	—	$0 – $13.8k
5	Humana fee schedule · outpatient · +20 other terms	152	$2	$108	$686	635%	—	$0 – $13.8k
6	Anthem fee schedule · outpatient · +22 other terms	137	$3	$67	$147	218%	—	$2 – $1.9k
7	MultiPlan fee schedule · outpatient · +17 other terms	98	$145	$215	$208	97%	—	$0 – $1.6k
8	Caresource fee schedule · outpatient · +13 other terms	63	$2	$6	$17	268%	—	$0 – $151
9	Medica fee schedule · outpatient · +15 other terms	53	$23	$40	$59	149%	—	$3 – $261
10	Kaiser fee schedule · outpatient · +15 other terms	43	$145	$173	$175	101%	—	$1 – $1.1k
11	Highmark facility · fee schedule · outpatient · +14 other terms	41	$3	$4	$2	53%	—	$1 – $11
12	Molina fee schedule · outpatient · +19 other terms	38	$5	$73	$195	267%	—	$1 – $1.2k
13	First Health fee schedule · outpatient · +13 other terms	33	$182	$196	$148	76%	—	$15 – $1.3k
14	Medcost facility · percent of total billed charges · bothfrom % of charges · +5 other terms	32	$134	$122	$47	38%	—	$31 – $276
15	Regence facility · fee schedule · both · +12 other terms	32	$41	$60	$48	80%	—	$22 – $372
16	Ambetter fee schedule · outpatient · +12 other terms	28	$2	$17	$52	300%	—	$2 – $261
17	Excellus facility · fee schedule · both · +6 other terms	28	$40	$47	$25	54%	—	$22 – $147
18	Oscar facility · fee schedule · outpatient · +10 other terms	28	$3	$3	$0	9%	—	$2 – $4
19	Carefirst facility · fee schedule · both · +10 other terms	27	$40	$51	$27	53%	—	$22 – $147
20	Medicaid facility · fee schedule · outpatient · +10 other terms	27	$21	$15	$13	88%	—	$1 – $41
21	Premera facility · fee schedule · both · +8 other terms	27	$40	$51	$27	53%	—	$22 – $147
22	Wellmark facility · fee schedule · both · +12 other terms	27	$40	$49	$25	53%	—	$22 – $147
23	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$168	$149	$42	28%	—	$83 – $234
24	WellCare fee schedule · outpatient · +13 other terms	26	$2	$6	$13	197%	—	$0 – $57
25	Amerihealth Caritas other · outpatient · +10 other terms	25	$81	$1.3k	$4.0k	307%	—	$16 – $15.1k

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