Medroxyprogesterone acetate 150 mg/mL 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

MEDROXYPROGESTERONE ACETATE 150 MG/ML IM SUSP

Payers reporting HCPCS J1050

Payer pricing summary

Low

Average

$136

Median

$98

High

$863

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$59	$58	$30	51%	120–1,200	$9 – $137
2	UnitedHealthcare fee schedule · outpatient · +32 other terms	525	$1	$35	$225	638%	53–242	$0 – $6.0k
3	Anthem fee schedule · outpatient · +24 other terms	108	$1	$16	$88	534%	34–340	$0 – $2.1k
4	Blue Cross Blue Shield fee schedule · outpatient · +33 other terms	313	$1	$16	$92	578%	17–170	$0 – $1.9k
5	Caresource fee schedule · outpatient · +18 other terms	33	$37	$38	$39	103%	11	$1 – $138
6	Wellmark fee schedule · outpatient · +20 other terms	25	$0	$0	—	—	9–90	$0 – $0
7	Kaiser fee schedule · outpatient · +18 other terms	27	$260	$192	$246	129%	1–10	$1 – $2.2k
8	Carefirst professional · fee schedule · inpatient · +9 other terms	12	$56	$46	$32	69%	1–10	$2 – $92
9	WellCare other · outpatient · +20 other terms	11	$83	$104	$46	44%	1–10	$25 – $196
10	Cigna fee schedule · outpatient · +23 other terms	287	$1	$46	$122	267%	—	$0 – $2.4k
11	Aetna fee schedule · outpatient · +32 other terms	204	$1	$69	$419	605%	—	$0 – $10.6k
12	Humana fee schedule · outpatient · +25 other terms	112	$5	$155	$778	501%	—	$0 – $11.7k
13	MultiPlan fee schedule · outpatient · +16 other terms	78	$205	$359	$993	277%	—	$0 – $11.7k
14	Medica fee schedule · outpatient · +17 other terms	56	$7	$40	$78	196%	—	$0 – $316
15	Molina fee schedule · outpatient · +23 other terms	33	$7	$32	$81	255%	—	$1 – $1.2k
16	First Health fee schedule · inpatient · +17 other terms	29	$250	$232	$207	89%	—	$0 – $2.0k
17	Medicaid fee schedule · outpatient · +14 other terms	27	$1	$74	$234	315%	—	$0 – $2.0k
18	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$178	$158	$25	16%	—	$124 – $193
19	Bcbs Tx fee schedule · outpatient · +4 other terms	26	$1	$1	$0	31%	—	$0 – $1
20	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	23	$161	$237	$159	67%	—	$54 – $592
21	Highmark facility · fee schedule · outpatient · +16 other terms	23	$1	$1	$1	57%	—	$0 – $3
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +4 other terms	22	$174	$215	$146	68%	—	$1 – $695
23	Phcs fee schedule · inpatient · +13 other terms	21	$146	$407	$1.5k	377%	—	$0 – $13.4k
24	Tricare facility · fee schedule · outpatient · +16 other terms	21	$327	$3.5k	$12.4k	350%	—	$0 – $50k
25	Aetna Better Health fee schedule · outpatient · +14 other terms	20	$1	$1	$1	93%	—	$0 – $4

Page 1 of 3 · 66 payers