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

Tricare pricing summary

Low

$39

Average

$387

Median

$303

High

$1.3k

Tricare rate distribution

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26 hospital rates

#		Plans
1	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$309	$309	—	—	—	$309 – $309
2	Bullhead City Hospital Corporation City, AZ facility · fee schedule · outpatient	1	$1.3k	$1.3k	$166	13%	—	$1.2k – $1.5k
3	Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient	1	$714	$714	—	—	—	$714 – $714
4	Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · inpatientfrom % of charges	1	$103	$103	—	—	—	$103 – $103
5	Fisher-Titus Medical Center Norwalk, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$96	$96	—	—	—	$96 – $96
6	Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient	1	$815	$815	$0	0%	—	$815 – $815
7	Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient	1	$815	$815	$0	0%	—	$815 – $815
8	Kaweah Health Rehabilitation Hospital Visalia, CA facility · fee schedule · outpatient	1	$815	$815	—	—	—	$815 – $815
9	Kirksville Missouri Hospital Co LLC PO Box C8502 Kirksville, MO facility · fee schedule · outpatient	1	$303	$303	—	—	—	$303 – $303
10	Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient	1	$60	$60	—	—	—	$60 – $60
11	Longview Medical Center LP Longview, TX facility · fee schedule · outpatient	1	$637	$637	—	—	—	$637 – $637
12	MCLAREN CARO REGION CARO, MI fee schedule	1	$57	$57	—	—	—	$57 – $57
13	MCLAREN THUMB REGION AXE, MI fee schedule	1	$39	$39	—	—	—	$39 – $39
14	MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$75	$75	—	—	—	$75 – $75
15	MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$216	$216	—	—	—	$216 – $216
16	MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$177	$177	—	—	—	$177 – $177
17	MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges	1	$98	$98	—	—	—	$98 – $98
18	MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges	1	$140	$140	—	—	—	$140 – $140
19	MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges	1	$84	$84	—	—	—	$84 – $84
20	MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$175	$175	—	—	—	$175 – $175
21	Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient	1	$484	$484	$95	20%	—	$389 – $578
22	QHG of Enterprise Inc Enterprise, AL facility · fee schedule · outpatient	1	$120	$120	—	—	—	$120 – $120
23	The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · fee schedule · outpatient	1	$571	$571	$7	1%	—	$564 – $578
24	Triad of Alabama LLC Dothan, AL facility · fee schedule · outpatient	1	$666	$666	—	—	—	$666 – $666
25	Wesley Health System LLC Hattiesburg, MS facility · fee schedule · outpatient	1	$407	$407	—	—	—	$407 – $407