Hydroxyprogesterone caproate 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

HYDROXYPROGESTERONE 250MG/ML INJ

Payers reporting HCPCS J1726

Payer pricing summary

Low

Average

$405

Median

$164

High

$2.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +18 other terms	287	$21	$26	$28	108%	—	$0 – $538
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	193	$31	$45	$111	248%	—	$0 – $2.0k
3	Aetna fee schedule · outpatient · +21 other terms	174	$24	$46	$48	105%	—	$1 – $455
4	Humana fee schedule · outpatient · +21 other terms	111	$20	$154	$348	227%	—	$0 – $4.3k
5	Anthem fee schedule · outpatient · +13 other terms	67	$22	$35	$36	101%	—	$0 – $225
6	WellCare fee schedule · outpatient · +10 other terms	47	$14	$18	$8	42%	—	$13 – $32
7	Molina facility · case rate · outpatient · +16 other terms	42	$78	$78	$51	66%	—	$3 – $218
8	Cigna facility · fee schedule · outpatient · +18 other terms	40	$16	$3.5k	$24.7k	703%	—	$0 – $180.0k
9	MultiPlan fee schedule · outpatient · +13 other terms	27	$20	$514	$1.0k	201%	—	$20 – $3.8k
10	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$19	$19	$0	2%	—	$19 – $20
11	Bcbs Tx fee schedule · outpatient · +3 other terms	23	$14	$14	$0	3%	—	$13 – $14
12	Devoted fee schedule · outpatient · +2 other terms	20	$15	$17	$6	34%	—	$14 – $34
13	Caresource facility · case rate · outpatient · +7 other terms	19	$125	$78	$65	83%	—	$14 – $222
14	Optum facility · fee schedule · outpatient · +7 other terms	15	$14	$16	$5	30%	—	$14 – $32
15	Ambetter facility · fee schedule · outpatient · +7 other terms	13	$33	$118	$309	261%	—	$14 – $1.5k
16	Regence fee schedule · outpatient · +8 other terms	13	$29	$30	$7	24%	—	$13 – $42
17	Wellmark fee schedule · both · +10 other terms	13	$20	$20	—	—	—	$20 – $20
18	Bcbs Mn fee schedule · outpatient · +8 other terms	12	$34	$27	$14	50%	—	$14 – $43
19	Bcbs Nj fee schedule · outpatient	12	$19	$24	$13	55%	—	$15 – $67
20	Clover fee schedule · outpatient · +2 other terms	12	$15	$15	$0	2%	—	$15 – $16
21	Highmark fee schedule · outpatient · +4 other terms	12	$22	$26	$28	107%	—	$20 – $294
22	Bcbs La fee schedule · outpatient · +2 other terms	11	$23	$23	$4	15%	—	$13 – $27
23	Kaiser fee schedule · outpatient · +8 other terms	11	$80	$343	$296	86%	—	$48 – $732
24	Medica fee schedule · outpatient · +8 other terms	10	$41	$41	$10	25%	—	$25 – $53
25	Medicaid fee schedule · outpatient · +5 other terms	10	$260	$225	$77	34%	—	$1 – $276

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