Chloramphenicol sodium succinate injection, up to 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

CHLORAMPHENICOL SODIUM SUCCINATE 1 GRAM INTRAVENOUS SOLUTION

Payers reporting HCPCS J0720

Payer pricing summary

Low

$26

Average

$99

Median

$87

High

$286

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +25 other terms	451	$83	$123	$225	182%	—	$1 – $1.6k
2	Blue Cross Blue Shield fee schedule · outpatient · +23 other terms	273	$64	$88	$69	78%	—	$1 – $626
3	Cigna fee schedule · outpatient · +17 other terms	248	$74	$131	$104	79%	—	$11 – $424
4	Aetna fee schedule · outpatient · +23 other terms	235	$56	$80	$49	61%	—	$1 – $506
5	Humana fee schedule · outpatient · +23 other terms	155	$53	$121	$120	99%	—	$15 – $384
6	Anthem fee schedule · outpatient · +17 other terms	73	$54	$64	$36	56%	—	$6 – $230
7	Molina facility · fee schedule · outpatient · +19 other terms	55	$53	$53	$15	29%	—	$18 – $118
8	Kaiser fee schedule · both · +12 other terms	47	$37	$33	$9	28%	—	$25 – $64
9	MultiPlan fee schedule · inpatient · +14 other terms	37	$71	$88	$54	62%	—	$21 – $178
10	Devoted fee schedule · outpatient · +7 other terms	35	$49	$49	$3	5%	—	$46 – $54
11	WellCare fee schedule · outpatient · +13 other terms	34	$50	$51	$5	10%	—	$40 – $68
12	Caresource fee schedule · outpatient · +11 other terms	33	$57	$63	$15	24%	—	$15 – $98
13	Optum fee schedule · outpatient · +12 other terms	33	$49	$65	$30	47%	—	$17 – $144
14	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$117	$106	$35	33%	—	$43 – $183
15	Medica fee schedule · outpatient · +14 other terms	30	$93	$96	$41	43%	—	$15 – $174
16	Ambetter fee schedule · outpatient · +9 other terms	22	$90	$90	$15	16%	—	$44 – $119
17	Medcost percent of total billed charges · outpatientfrom % of charges · +4 other terms	22	$170	$182	$71	39%	—	$62 – $355
18	Tricare fee schedule · outpatient · +5 other terms	21	$45	$98	$107	109%	—	$32 – $295
19	Regence professional · fee schedule · outpatient · +5 other terms	20	$41	$42	$2	4%	—	$41 – $50
20	Medicare fee schedule · outpatient · +9 other terms	19	$49	$48	$7	14%	—	$15 – $49
21	Beechstreet percent of total billed charges · outpatientfrom % of charges · +2 other terms	18	$219	$303	$151	50%	—	$210 – $774
22	Aetna Better Health fee schedule · outpatient · +10 other terms	17	$51	$51	$4	7%	—	$48 – $57
23	Highmark fee schedule · outpatient · +7 other terms	16	$55	$56	$8	14%	—	$43 – $110
24	Wellmark fee schedule · outpatient · +10 other terms	16	$49	$49	—	—	—	$49 – $49
25	Oscar facility · fee schedule · outpatient · +8 other terms	14	$85	$80	$12	15%	—	$66 – $93

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