Kanamycin sulfate injection, 500 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

Kanamycin sulfate 500 MG inj

Payers reporting HCPCS J1840

Payer pricing summary

Low

Average

$49

Median

$39

High

$203

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	44	$45	$43	$19	45%	—	$5 – $61
2	Blue Cross Blue Shield fee schedule · outpatient · +10 other terms	39	$19	$21	$11	55%	—	$0 – $47
3	Cigna fee schedule · both · +8 other terms	30	$8	$8	$1	18%	—	$6 – $11
4	UnitedHealthcare fee schedule · outpatient · +9 other terms	16	$8	$16	$14	89%	—	$4 – $42
5	Anthem facility · case rate · outpatient · +6 other terms	15	$47	$52	$12	23%	—	$32 – $80
6	Caresource facility · case rate · outpatient	15	$48	$52	$12	23%	—	$32 – $82
7	Molina facility · case rate · outpatient · +1 other terms	15	$47	$52	$12	23%	—	$33 – $80
8	Bcbs Mn fee schedule · outpatient · +1 other terms	12	$9	$6	$5	75%	—	$1 – $11
9	Aetna facility · fee schedule · outpatient · +9 other terms	11	$9	$13	$7	57%	—	$5 – $23
10	Optum facility · case rate · outpatient · +1 other terms	11	$45	$49	$11	22%	—	$40 – $73
11	Medica fee schedule · outpatient · +2 other terms	6	$21	$27	$12	46%	—	$15 – $49
12	First Health facility · fee schedule · outpatient · +3 other terms	4	$23	$23	—	—	—	$23 – $23
13	Bcbs Tx facility · fee schedule · outpatient	3	$12	$12	$0	2%	—	$11 – $12
14	Sanford Health Plan fee schedule · inpatient · +1 other terms	3	$48	$47	$2	4%	—	$45 – $48
15	Ucare fee schedule · inpatient · +1 other terms	3	$45	$45	—	—	—	$45 – $45
16	Bcbs Vt professional · fee schedule · outpatient	2	$19	$19	$6	32%	—	$8 – $28
17	Highmark facility · fee schedule · outpatient · +1 other terms	2	$13	$13	—	—	—	$13 – $13
18	Kaiser fee schedule · both · +2 other terms	2	$10	$10	—	—	—	$10 – $10
19	Medcost facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$183	$183	—	—	—	$183 – $183
20	MultiPlan fee schedule · both · +5 other terms	2	$15	$15	$7	44%	—	$8 – $22
21	Phcs facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	2	$203	$203	—	—	—	$203 – $203
22	WellCare facility · percent of total billed charges · outpatientfrom % of charges	2	$42	$42	$4	9%	—	$38 – $45
23	Ambetter facility · fee schedule · outpatient · +2 other terms	1	$20	$20	—	—	—	$20 – $20
24	Bcbs Id facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
25	Bcbs Nv fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8

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