Injection of ethacrynate sodium

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

ETHACRYNATE SODIUM 50 MG INTRAVENOUS SOLUTION

Payers reporting HCPCS J1807

Payer pricing summary

Low

Average

$2.0k

Median

$1.4k

High

$10.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +22 other terms	286	$21	$65	$477	736%	—	$1 – $5.8k
2	Aetna facility · fee schedule · outpatient · +19 other terms	120	$18	$158	$691	439%	—	$12 – $5.5k
3	Humana fee schedule · outpatient · +19 other terms	87	$21	$274	$1.2k	434%	—	$13 – $6.1k
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +21 other terms	80	$21	$101	$465	459%	—	$7 – $6.0k
5	Cigna facility · fee schedule · outpatient · +16 other terms	63	$21	$46	$38	82%	—	$9 – $180
6	Anthem fee schedule · outpatient · +16 other terms	53	$21	$381	$1.3k	354%	—	$13 – $5.8k
7	WellCare facility · fee schedule · outpatient · +10 other terms	51	$18	$207	$708	341%	—	$12 – $2.8k
8	Molina facility · fee schedule · outpatient · +17 other terms	49	$14	$14	$5	33%	—	$7 – $37
9	Ambetter fee schedule · outpatient · +9 other terms	37	$38	$40	$8	20%	—	$26 – $58
10	Kaiser fee schedule · outpatient · +12 other terms	34	$21	$40	$36	89%	—	$20 – $165
11	Devoted fee schedule · outpatient · +7 other terms	30	$21	$21	$1	3%	—	$21 – $22
12	Medicare fee schedule · outpatient · +6 other terms	24	$21	$18	$3	17%	—	$13 – $21
13	Caresource facility · case rate · outpatient · +8 other terms	20	$4.3k	$3.5k	$2.4k	68%	—	$21 – $7.6k
14	Medica facility · fee schedule · outpatient · +10 other terms	18	$21	$172	$893	519%	—	$13 – $6.0k
15	Regence facility · fee schedule · outpatient · +6 other terms	16	$13	$14	$1	8%	—	$13 – $18
16	Optum fee schedule · outpatient · +10 other terms	15	$21	$23	$5	24%	—	$21 – $37
17	Medical Mutual facility · fee schedule · outpatient · +3 other terms	14	$18	$22	$5	21%	—	$18 – $29
18	Medicaid facility · fee schedule · outpatient · +5 other terms	13	$26	$1.4k	$2.9k	213%	—	$4 – $8.8k
19	Cigna Healthspring fee schedule · outpatient · +4 other terms	12	$22	$22	—	—	—	$22 – $22
20	Sanford Health Plan fee schedule · outpatient · +3 other terms	11	$21	$55	$28	51%	—	$21 – $78
21	Tricare facility · fee schedule · outpatient · +5 other terms	10	$17	$3.1k	$5.0k	160%	—	$12 – $13.7k
22	Clover fee schedule · outpatient · +2 other terms	9	$21	$20	$4	20%	—	$13 – $23
23	Ucare fee schedule · outpatient · +5 other terms	9	$21	$23	$6	25%	—	$21 – $47
24	Aetna Better Health facility · case rate · outpatient · +6 other terms	8	$3.2k	$2.8k	$1.1k	41%	—	$21 – $3.2k
25	Bcbs Mn fee schedule · outpatient · +3 other terms	8	$21	$21	—	—	—	$21 – $21

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