DMSO (dimethyl sulfoxide) 50% solution, 50 mL

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

DIMETHYL SULFOXIDE 50 % INTRAVESICAL SOLUTION

Payers reporting HCPCS J1212

Payer pricing summary

Low

$177

Average

$1.3k

Median

$1.1k

High

$5.5k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +31 other terms	653	$1.0k	$2.5k	$11.5k	460%	1–10	$0 – $102.1k
2	Aetna fee schedule · outpatient · +28 other terms	443	$851	$1.4k	$2.7k	188%	—	$1 – $38.2k
3	Cigna fee schedule · outpatient · +25 other terms	395	$1.1k	$1.7k	$1.3k	77%	—	$0 – $6.4k
4	Humana fee schedule · outpatient · +26 other terms	384	$749	$1.8k	$5.0k	283%	—	$0 – $39.0k
5	Blue Cross Blue Shield fee schedule · outpatient · +28 other terms	378	$892	$1.5k	$2.7k	178%	—	$0 – $37.5k
6	WellCare fee schedule · outpatient · +17 other terms	149	$756	$1.9k	$6.4k	334%	—	$25 – $38.6k
7	Molina fee schedule · outpatient · +23 other terms	146	$810	$941	$406	43%	—	$1 – $1.7k
8	Anthem fee schedule · outpatient · +23 other terms	131	$883	$1.0k	$735	72%	—	$24 – $5.6k
9	Ambetter facility · fee schedule · outpatient · +17 other terms	90	$1.3k	$1.3k	$321	24%	—	$715 – $1.8k
10	Caresource fee schedule · outpatient · +17 other terms	84	$855	$1.8k	$6.0k	326%	—	$546 – $38.6k
11	Kaiser fee schedule · outpatient · +20 other terms	73	$1.1k	$3.1k	$7.9k	253%	—	$155 – $38.6k
12	MultiPlan fee schedule · outpatient · +18 other terms	65	$1.6k	$1.4k	$954	69%	—	$10 – $3.5k
13	Devoted fee schedule · outpatient · +14 other terms	61	$749	$747	$33	4%	—	$682 – $801
14	Highmark facility · fee schedule · outpatient · +14 other terms	53	$939	$984	$673	68%	—	$41 – $3.4k
15	Optum facility · fee schedule · outpatient · +20 other terms	52	$749	$753	$76	10%	—	$599 – $1.1k
16	Medicare fee schedule · outpatient · +13 other terms	36	$734	$1.4k	$4.8k	355%	—	$1 – $37.5k
17	Oscar facility · fee schedule · outpatient · +16 other terms	32	$955	$1.0k	$204	20%	—	$749 – $1.4k
18	Medica fee schedule · outpatient · +19 other terms	31	$1.3k	$1.3k	$682	54%	—	$5 – $2.6k
19	Tricare facility · fee schedule · outpatient · +17 other terms	30	$749	$1.5k	$1.1k	76%	—	$154 – $4.8k
20	Bcbs Tx fee schedule · outpatient · +3 other terms	29	$2.3k	$2.1k	$905	42%	—	$672 – $4.2k
21	Clover fee schedule · outpatient · +6 other terms	29	$792	$6.2k	$13.0k	211%	—	$709 – $37.5k
22	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$749	$847	$284	34%	—	$265 – $1.6k
23	Regence professional · fee schedule · outpatient · +18 other terms	26	$638	$768	$145	19%	—	$638 – $936
24	Superior Healthplan facility · fee schedule · outpatient · +5 other terms	26	$786	$624	$277	44%	—	$44 – $948
25	Baylor Scott White Health Plan facility · fee schedule · outpatient · +2 other terms	25	$947	$944	$188	20%	—	$712 – $1.2k

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