Dimercaprol injection, 300 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

BAL IN OIL 300MG/3ML

Payers reporting HCPCS J0470

Payer pricing summary

Low

$49

Average

$252

Median

$219

High

$763

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +15 other terms	205	$102	$169	$124	73%	—	$1 – $694
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	200	$116	$135	$89	66%	—	$0 – $388
3	Aetna fee schedule · outpatient · +17 other terms	144	$97	$120	$70	58%	—	$1 – $633
4	UnitedHealthcare fee schedule · outpatient · +19 other terms	133	$79	$105	$71	67%	—	$17 – $626
5	Humana fee schedule · outpatient · +16 other terms	89	$121	$236	$188	80%	—	$0 – $530
6	Anthem fee schedule · outpatient · +15 other terms	87	$71	$82	$42	52%	—	$0 – $267
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$244	$222	$74	33%	—	$91 – $384
8	MultiPlan fee schedule · outpatient · +9 other terms	27	$101	$220	$226	103%	—	$101 – $969
9	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$493	$438	$70	16%	—	$343 – $533
10	Medcost percent of total billed charges · outpatientfrom % of charges · +4 other terms	24	$479	$503	$327	65%	—	$167 – $1.5k
11	Caresource facility · case rate · outpatient · +6 other terms	18	$51	$58	$17	29%	—	$32 – $88
12	Molina facility · case rate · outpatient · +11 other terms	18	$50	$54	$10	19%	—	$33 – $80
13	Kaiser fee schedule · outpatient · +10 other terms	14	$277	$269	$158	59%	—	$61 – $613
14	Tricare facility · fee schedule · outpatient · +5 other terms	14	$604	$603	$299	50%	—	$120 – $1.5k
15	Medica fee schedule · outpatient · +10 other terms	13	$123	$136	$60	44%	—	$71 – $370
16	Wellmark fee schedule · both · +7 other terms	13	$56	$56	—	—	—	$56 – $56
17	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$64	$62	$17	28%	—	$33 – $80
18	Bcbs Nj fee schedule · outpatient · +2 other terms	12	$53	$53	—	—	—	$53 – $53
19	Highmark fee schedule · outpatient · +6 other terms	12	$60	$60	$4	7%	—	$43 – $98
20	Optum facility · case rate · outpatient · +5 other terms	11	$45	$49	$11	22%	—	$40 – $73
21	Ucare fee schedule · outpatient · +6 other terms	11	$52	$145	$109	75%	—	$52 – $339
22	Ambetter fee schedule · outpatient · +8 other terms	9	$70	$61	$16	26%	—	$24 – $70
23	Premera fee schedule · outpatient · +2 other terms	9	$61	$119	$164	139%	—	$61 – $584
24	WellCare facility · fee schedule · outpatient · +6 other terms	9	$84	$84	—	—	—	$84 – $84
25	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$53	$53	—	—	—	$53 – $53

Page 1 of 3 · 54 payers