Dimenhydrinate injection, up to 50 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

DIMENHYDRINATE 50 MG/ML INJECTION SOLUTION

Payers reporting HCPCS J1240

Payer pricing summary

Low

Average

$33

Median

$19

High

$209

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	373	$8	$8	$8	102%	—	$1 – $52
2	Cigna fee schedule · outpatient · +15 other terms	290	$14	$21	$14	70%	—	$0 – $66
3	Blue Cross Blue Shield fee schedule · outpatient · +20 other terms	199	$18	$26	$20	78%	—	$1 – $177
4	Aetna fee schedule · outpatient · +18 other terms	185	$15	$19	$21	112%	—	$1 – $233
5	Humana fee schedule · outpatient · +17 other terms	146	$9	$26	$27	104%	—	$1 – $81
6	Anthem fee schedule · outpatient · +15 other terms	51	$10	$13	$8	64%	—	$1 – $52
7	Kaiser fee schedule · both · +11 other terms	43	$9	$9	$2	26%	—	$6 – $13
8	Highmark facility · fee schedule · outpatient · +7 other terms	40	$5	$5	$4	70%	—	$1 – $21
9	Caresource fee schedule · outpatient · +11 other terms	36	$9	$11	$3	26%	—	$8 – $15
10	Bcbs Tx fee schedule · outpatient · +4 other terms	30	$43	$39	$13	33%	—	$16 – $68
11	Molina professional · fee schedule · outpatient · +15 other terms	26	$8	$8	$1	8%	—	$1 – $8
12	Regence professional · fee schedule · outpatient · +5 other terms	21	$8	$8	$1	19%	—	$1 – $8
13	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	19	$17	$35	$37	108%	—	$8 – $123
14	Oscar facility · fee schedule · outpatient · +9 other terms	19	$10	$9	$3	39%	—	$1 – $11
15	Amerihealth Caritas facility · fee schedule · outpatient · +5 other terms	18	$6	$6	—	—	—	$6 – $6
16	Healthpartners fee schedule · outpatient · +6 other terms	18	$10	$10	$0	2%	—	$10 – $11
17	Aetna Better Health fee schedule · outpatient · +7 other terms	17	$9	$7	$4	64%	—	$1 – $11
18	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	16	$25	$31	$12	38%	—	$24 – $55
19	WellCare professional · fee schedule · outpatient · +9 other terms	15	$6	$7	$1	13%	—	$6 – $9
20	Wellmark fee schedule · both · +8 other terms	14	$8	$8	$0	1%	—	$8 – $8
21	Medical Mutual facility · fee schedule · outpatient · +6 other terms	13	$22	$22	$6	26%	—	$10 – $33
22	Bcbs Mn fee schedule · outpatient · +7 other terms	12	$8	$7	$3	43%	—	$1 – $10
23	Bcbs Nj fee schedule · outpatient	11	$8	$8	$1	12%	—	$6 – $9
24	Medica facility · fee schedule · both · +13 other terms	11	$1	$3	$4	140%	—	$1 – $15
25	Optum facility · case rate · outpatient · +8 other terms	11	$8	$9	$2	22%	—	$7 – $13

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