Hyoscyamine sulfate injection, up to 0.25 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

LEVSIN 0.5MG/ML 1ML AMP

Payers reporting HCPCS J1980

Payer pricing summary

Low

$19

Average

$168

Median

$142

High

$539

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +17 other terms	222	$96	$152	$101	66%	29–38	$23 – $471
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	393	$15	$34	$155	461%	19–28	$1 – $3.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	216	$70	$92	$67	73%	—	$1 – $351
4	Aetna fee schedule · outpatient · +18 other terms	135	$69	$107	$65	61%	—	$29 – $562
5	Humana fee schedule · outpatient · +17 other terms	87	$88	$134	$93	69%	—	$18 – $360
6	Anthem fee schedule · outpatient · +14 other terms	45	$61	$91	$38	42%	—	$33 – $255
7	Kaiser fee schedule · both · +11 other terms	43	$15	$14	$4	26%	—	$10 – $20
8	MultiPlan fee schedule · inpatient · +11 other terms	30	$208	$183	$117	64%	—	$33 – $514
9	Bcbs Tx fee schedule · outpatient · +1 other terms	27	$132	$123	$37	30%	—	$48 – $203
10	Medica fee schedule · outpatient · +10 other terms	27	$73	$106	$70	66%	—	$18 – $267
11	Molina professional · fee schedule · outpatient · +13 other terms	23	$32	$32	—	—	—	$32 – $32
12	Regence professional · fee schedule · outpatient · +4 other terms	20	$32	$33	$5	15%	—	$32 – $55
13	Healthpartners fee schedule · outpatient · +4 other terms	18	$42	$42	$1	2%	—	$41 – $43
14	Phcs fee schedule · inpatient · +7 other terms	17	$177	$146	$50	34%	—	$103 – $273
15	Wellmark fee schedule · outpatient · +7 other terms	16	$33	$33	—	—	—	$33 – $33
16	Beechstreet percent of total billed charges · inpatientfrom % of charges · +4 other terms	15	$327	$422	$198	47%	—	$271 – $909
17	Caresource facility · case rate · outpatient · +10 other terms	15	$48	$52	$12	23%	—	$32 – $82
18	Medcost percent of total billed charges · inpatientfrom % of charges · +5 other terms	14	$205	$215	$63	29%	—	$96 – $399
19	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$35	$27	$18	67%	—	$1 – $44
20	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$37	$38	$9	23%	—	$33 – $54
21	Highmark fee schedule · outpatient · +6 other terms	12	$61	$61	$4	6%	—	$43 – $98
22	Aetna Better Health fee schedule · outpatient · +7 other terms	11	$33	$36	$4	12%	—	$33 – $42
23	Optum facility · case rate · outpatient · +9 other terms	11	$45	$49	$11	22%	—	$40 – $73
24	First Health fee schedule · inpatient · +12 other terms	10	$105	$138	$76	55%	—	$96 – $330
25	Medical Mutual facility · fee schedule · outpatient · +5 other terms	10	$99	$100	$25	25%	—	$60 – $151

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