Dihydroergotamine injection, 1 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

DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION

Payers reporting HCPCS J1110

Payer pricing summary

Low

Average

$278

Median

$242

High

$1.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +23 other terms	398	$120	$214	$403	188%	15–150	$0 – $5.7k
2	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	310	$136	$261	$406	155%	12–120	$0 – $5.3k
3	Anthem fee schedule · outpatient · +22 other terms	112	$94	$116	$279	240%	5–50	$30 – $5.5k
4	Wellmark fee schedule · outpatient · +13 other terms	21	$86	$70	$23	33%	2–20	$37 – $97
5	UnitedHealthcare fee schedule · outpatient · +31 other terms	515	$94	$155	$455	293%	—	$0 – $12.1k
6	Aetna fee schedule · outpatient · +26 other terms	278	$128	$206	$400	194%	—	$0 – $6.1k
7	Humana fee schedule · outpatient · +20 other terms	192	$83	$264	$434	164%	—	$1 – $3.4k
8	MultiPlan fee schedule · inpatient · +17 other terms	84	$410	$719	$1.3k	175%	—	$27 – $6.9k
9	Caresource fee schedule · outpatient · +15 other terms	68	$70	$76	$35	46%	—	$1 – $309
10	Molina fee schedule · outpatient · +19 other terms	53	$100	$88	$47	53%	—	$1 – $303
11	Kaiser fee schedule · both · +14 other terms	48	$119	$117	$32	27%	—	$38 – $164
12	Medica fee schedule · outpatient · +15 other terms	44	$90	$292	$852	291%	—	$13 – $5.4k
13	Highmark facility · fee schedule · outpatient · +13 other terms	35	$61	$57	$30	53%	—	$13 – $169
14	First Health fee schedule · outpatient · +18 other terms	32	$393	$618	$1.1k	175%	—	$39 – $5.1k
15	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	32	$410	$541	$438	81%	—	$139 – $5.1k
16	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$306	$271	$77	28%	—	$155 – $417
17	Regence professional · fee schedule · outpatient · +11 other terms	26	$57	$65	$9	14%	—	$48 – $75
18	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	25	$60	$62	$10	15%	—	$57 – $104
19	Bcbs Tx fee schedule · outpatient · +4 other terms	25	$849	$792	$243	31%	—	$313 – $1.3k
20	Aetna Better Health fee schedule · outpatient · +10 other terms	21	$50	$44	$9	21%	—	$38 – $64
21	Phcs fee schedule · inpatient · +13 other terms	21	$718	$720	$1.2k	170%	—	$31 – $5.5k
22	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +2 other terms	20	$502	$418	$192	46%	—	$74 – $670
23	Oscar facility · fee schedule · outpatient · +10 other terms	20	$109	$103	$16	16%	—	$57 – $120
24	Ambetter other · outpatient · +13 other terms	19	$244	$794	$584	73%	—	$27 – $2.1k
25	Bcbs La fee schedule · outpatient · +3 other terms	19	$53	$53	$4	7%	—	$52 – $94

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