Dolasetron injection, 10 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

Dolasetron mesylate

Payers reporting HCPCS J1260

Payer pricing summary

Low

Average

$68

Median

$49

High

$357

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	375	$6	$10	$13	136%	—	$3 – $103
2	Cigna fee schedule · outpatient · +15 other terms	182	$12	$24	$26	109%	—	$6 – $153
3	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	165	$14	$14	$13	88%	—	$0 – $137
4	Aetna fee schedule · outpatient · +19 other terms	124	$7	$14	$34	239%	—	$0 – $547
5	Humana fee schedule · outpatient · +12 other terms	81	$29	$54	$40	74%	—	$4 – $142
6	Kaiser fee schedule · both · +4 other terms	47	$6	$6	$3	44%	—	$4 – $16
7	Anthem fee schedule · outpatient · +12 other terms	37	$0	$1	$7	650%	—	$0 – $68
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$25	$23	$8	33%	—	$9 – $40
9	Caresource facility · case rate · outpatient · +6 other terms	15	$9	$10	$2	23%	—	$6 – $15
10	Molina facility · case rate · outpatient · +12 other terms	15	$9	$10	$2	23%	—	$6 – $15
11	Aetna Better Health fee schedule · outpatient · +5 other terms	13	$6	$6	$0	5%	—	$6 – $6
12	Medica fee schedule · outpatient · +8 other terms	13	$26	$29	$13	45%	—	$15 – $79
13	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$9	$7	$4	62%	—	$1 – $11
14	Optum facility · case rate · outpatient · +5 other terms	11	$8	$9	$2	22%	—	$7 – $13
15	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$17	$17	$4	25%	—	$10 – $27
16	Ambetter fee schedule · both · +3 other terms	9	$68	$71	$10	14%	—	$68 – $100
17	Ucare fee schedule · both · +3 other terms	9	$6	$6	$0	3%	—	$6 – $6
18	Bcbs La fee schedule · outpatient · +1 other terms	8	$7	$7	—	—	—	$7 – $7
19	WellCare professional · fee schedule · both · +2 other terms	8	$0	$0	—	—	—	$0 – $0
20	Bcbs Il professional · fee schedule · both	7	$0	$0	—	—	—	$0 – $0
21	First Health fee schedule · inpatient · +11 other terms	6	$137	$137	$5	4%	—	$131 – $142
22	MultiPlan fee schedule · inpatient · +13 other terms	6	$158	$158	$6	4%	—	$152 – $164
23	Phcs fee schedule · inpatient · +8 other terms	6	$147	$147	$6	4%	—	$142 – $153
24	Tricare fee schedule · outpatient · +4 other terms	5	$178	$178	$133	75%	—	$36 – $356
25	Highmark facility · fee schedule · outpatient · +2 other terms	4	$15	$15	$8	54%	—	$3 – $33

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