Combined penicillin G benzathine and procaine 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BICILLIN C-R 900/300MU/2ML INJ

Payers reporting HCPCS J0558

Payer pricing summary

Low

$10

Average

$399

Median

$179

High

$7.3k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +23 other terms	404	$26	$61	$92	150%	1–10	$6 – $1.1k
2	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	380	$20	$44	$120	276%	1–10	$0 – $1.1k
3	UnitedHealthcare fee schedule · outpatient · +29 other terms	657	$29	$50	$118	235%	—	$0 – $1.1k
4	Aetna fee schedule · outpatient · +25 other terms	442	$23	$55	$120	219%	—	$1 – $1.5k
5	Humana fee schedule · outpatient · +24 other terms	389	$20	$51	$122	236%	—	$0 – $1.7k
6	Anthem fee schedule · outpatient · +23 other terms	148	$23	$30	$51	171%	—	$5 – $937
7	Molina fee schedule · outpatient · +23 other terms	148	$28	$38	$46	120%	—	$1 – $414
8	WellCare fee schedule · outpatient · +16 other terms	139	$20	$26	$26	102%	—	$15 – $180
9	Caresource fee schedule · outpatient · +15 other terms	81	$23	$41	$65	159%	—	$1 – $361
10	MultiPlan fee schedule · outpatient · +18 other terms	80	$360	$448	$427	95%	—	$17 – $1.7k
11	Kaiser fee schedule · outpatient · +19 other terms	78	$29	$74	$129	176%	—	$16 – $1.0k
12	Ambetter fee schedule · outpatient · +15 other terms	61	$35	$55	$136	246%	—	$4 – $947
13	Devoted fee schedule · outpatient · +14 other terms	61	$19	$19	$1	4%	—	$18 – $21
14	Optum fee schedule · outpatient · +18 other terms	44	$19	$70	$98	141%	—	$17 – $397
15	Medica fee schedule · outpatient · +17 other terms	41	$87	$177	$313	177%	—	$20 – $1.1k
16	Oscar facility · fee schedule · outpatient · +14 other terms	35	$24	$25	$6	22%	—	$20 – $36
17	Bcbs Tx fee schedule · outpatient · +2 other terms	32	$19	$18	$6	32%	—	$7 – $31
18	Highmark facility · fee schedule · outpatient · +11 other terms	29	$21	$23	$9	40%	—	$7 – $57
19	Clover facility · fee schedule · outpatient · +7 other terms	28	$20	$20	$0	2%	—	$20 – $21
20	Medicaid facility · fee schedule · outpatient · +13 other terms	28	$67	$73	$77	105%	—	$1 – $254
21	Medicare fee schedule · outpatient · +12 other terms	25	$19	$18	$1	4%	—	$13 – $19
22	First Health fee schedule · outpatient · +18 other terms	24	$312	$264	$198	75%	—	$17 – $893
23	Aetna Better Health fee schedule · outpatient · +13 other terms	23	$20	$19	$1	6%	—	$18 – $21
24	Sanford Health Plan fee schedule · outpatient · +10 other terms	23	$21	$120	$242	201%	—	$19 – $808
25	Medical Mutual facility · fee schedule · outpatient · +8 other terms	21	$32	$37	$17	45%	—	$11 – $74

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