Octreotide acetate injection, 100 mcg/mL

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

INJECTION, OCTREOTIDE, NON-DEPOT FORM FOR SUBCUTANEOUS OR INTRAVENOUS INJECTION, 25 MCG

Payers reporting HCPCS J2354

Payer pricing summary

Low

Average

$105

Median

$74

High

$726

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +24 other terms	417	$1	$37	$352	966%	81–810	$0 – $6.2k
2	Anthem fee schedule · outpatient · +20 other terms	128	$1	$7	$34	470%	52–520	$1 – $860
3	UnitedHealthcare fee schedule · outpatient · +28 other terms	507	$1	$20	$86	429%	30–300	$0 – $2.6k
4	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	351	$2	$22	$317	1421%	19–190	$0 – $6.2k
5	Aetna fee schedule · outpatient · +27 other terms	291	$2	$31	$120	392%	—	$0 – $2.8k
6	Humana fee schedule · outpatient · +21 other terms	202	$2	$56	$173	310%	—	$0 – $2.3k
7	MultiPlan fee schedule · outpatient · +17 other terms	87	$102	$121	$149	123%	—	$1 – $1.1k
8	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	65	$115	$169	$344	203%	—	$1 – $3.4k
9	Molina fee schedule · outpatient · +21 other terms	62	$2	$21	$123	583%	—	$0 – $1.7k
10	Caresource fee schedule · outpatient · +15 other terms	58	$1	$17	$49	287%	—	$1 – $418
11	Medica fee schedule · outpatient · +16 other terms	52	$38	$9	$26	287%	—	$1 – $244
12	Kaiser fee schedule · both · +15 other terms	48	$1	$1	$4	306%	—	$1 – $101
13	Highmark facility · fee schedule · outpatient · +14 other terms	44	$2	$10	$11	111%	—	$1 – $46
14	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	41	$130	$203	$359	177%	—	$2 – $2.7k
15	First Health fee schedule · outpatient · +15 other terms	36	$69	$99	$101	102%	—	$1 – $560
16	Medicaid facility · fee schedule · outpatient · +8 other terms	35	$7	$39	$95	241%	—	$1 – $762
17	Regence facility · fee schedule · both · +14 other terms	33	$7	$13	$19	151%	—	$1 – $113
18	Excellus facility · fee schedule · both · +8 other terms	32	$6	$12	$19	157%	—	$1 – $113
19	Wellmark facility · fee schedule · both · +14 other terms	32	$6	$16	$49	311%	—	$1 – $620
20	Carefirst facility · fee schedule · both · +10 other terms	31	$6	$13	$20	154%	—	$1 – $113
21	Premera facility · fee schedule · both · +8 other terms	31	$6	$13	$20	156%	—	$1 – $113
22	Amerihealth Caritas facility · fee schedule · outpatient · +12 other terms	27	$1	$1	$0	27%	—	$1 – $1
23	Oscar facility · fee schedule · outpatient · +11 other terms	27	$1	$1	$0	7%	—	$1 – $1
24	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$2	$2	$0	2%	—	$2 – $2
25	Bcbs La fee schedule · outpatient · +3 other terms	24	$1	$1	$0	2%	—	$1 – $1

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