Caffeine citrate 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-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

CAFFEINE CITRATE 60 MG/3 ML (20 MG/ML) ORAL SOLN [77411]

Payers reporting HCPCS J0706

Payer pricing summary

Low

Average

$64

Median

$37

High

$592

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	478	$3	$50	$724	1444%	—	$1 – $20.4k
2	Cigna fee schedule · outpatient · +20 other terms	268	$3	$92	$843	917%	—	$1 – $12.4k
3	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	257	$3	$6	$31	479%	—	$0 – $626
4	Aetna fee schedule · outpatient · +23 other terms	175	$4	$339	$2.1k	608%	—	$1 – $21.9k
5	Humana fee schedule · outpatient · +17 other terms	99	$11	$41	$255	624%	—	$1 – $4.8k
6	Anthem fee schedule · outpatient · +20 other terms	91	$2	$11	$24	224%	—	$1 – $253
7	MultiPlan fee schedule · inpatient · +16 other terms	80	$80	$800	$3.2k	406%	—	$1 – $22.4k
8	Kaiser fee schedule · both · +13 other terms	43	$5	$4	$1	27%	—	$3 – $6
9	Medica fee schedule · outpatient · +14 other terms	40	$4	$9	$23	249%	—	$1 – $137
10	First Health fee schedule · inpatient · +13 other terms	30	$73	$61	$42	68%	—	$3 – $169
11	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	29	$119	$81	$74	90%	—	$1 – $221
12	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$80	$71	$32	45%	—	$28 – $131
13	Molina fee schedule · both · +20 other terms	23	$8	$2	$3	111%	—	$1 – $22
14	Bcbs Tx fee schedule · outpatient · +4 other terms	22	$6	$6	$1	25%	—	$2 – $9
15	Wellmark fee schedule · outpatient · +12 other terms	22	$1	$1	$0	14%	—	$1 – $2
16	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	21	$35	$50	$40	80%	—	$18 – $292
17	Phcs fee schedule · inpatient · +9 other terms	21	$86	$46	$39	85%	—	$4 – $192
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	20	$30	$42	$30	73%	—	$8 – $155
19	Highmark facility · fee schedule · outpatient · +10 other terms	19	$6	$13	$10	81%	—	$1 – $48
20	Medicaid facility · fee schedule · outpatient · +8 other terms	19	$20	$16	$14	87%	—	$0 – $41
21	Bcbs La fee schedule · outpatient · +3 other terms	16	$1	$1	$0	11%	—	$1 – $1
22	Caresource facility · case rate · outpatient · +13 other terms	15	$9	$10	$2	23%	—	$6 – $15
23	Aetna Better Health fee schedule · outpatient · +10 other terms	13	$2	$2	$0	17%	—	$1 – $2
24	Tricare facility · fee schedule · outpatient · +9 other terms	13	$70	$81	$50	62%	—	$1 – $231
25	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$3	$3	$1	40%	—	$1 – $4

Page 1 of 3 · 62 payers