Injection of pentamidine isethionate, per milligram

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

PENTAMIDINE 300 MG SOLUTION FOR INJECTION

Payers reporting HCPCS J2516

Payer pricing summary

Low

Average

$292

Median

$266

High

$926

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +20 other terms	179	$0	$2	$16	986%	—	$0 – $295
2	Blue Cross Blue Shield fee schedule · outpatient · +17 other terms	38	$1	$3	$16	530%	—	$0 – $114
3	Aetna facility · fee schedule · outpatient · +17 other terms	29	$1	$1	$0	28%	—	$0 – $1
4	Cigna facility · fee schedule · outpatient · +15 other terms	27	$0	$4	$26	621%	—	$0 – $180
5	Medica facility · percent of total billed charges · bothfrom % of charges · +4 other terms	27	$465	$221	$184	83%	—	$56 – $1.1k
6	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$490	$435	$69	16%	—	$340 – $529
7	Phcs facility · percent of total billed charges · bothfrom % of charges · +4 other terms	21	$380	$388	$246	63%	—	$88 – $1.1k
8	Medcost facility · percent of total billed charges · bothfrom % of charges · +4 other terms	18	$198	$232	$108	46%	—	$125 – $603
9	Anthem facility · case rate · outpatient · +17 other terms	14	$48	$53	$12	22%	—	$44 – $80
10	Caresource facility · case rate · outpatient · +9 other terms	14	$49	$53	$11	21%	—	$44 – $82
11	Molina facility · case rate · outpatient · +13 other terms	14	$48	$53	$12	22%	—	$44 – $80
12	Optum facility · case rate · outpatient · +9 other terms	11	$45	$49	$11	23%	—	$40 – $73
13	Aetna Better Health percent of total billed charges · outpatientfrom % of charges · +2 other terms	10	$73	$61	$33	54%	—	$0 – $117
14	Healthpartners facility · percent of total billed charges · bothfrom % of charges · +1 other terms	9	$144	$190	$246	129%	—	$41 – $1.2k
15	Ucare facility · percent of total billed charges · bothfrom % of charges · +1 other terms	9	$126	$120	$64	54%	—	$41 – $238
16	Ambetter other · outpatient · +7 other terms	8	$9	$9	$5	58%	—	$3 – $15
17	Beechstreet percent of total billed charges · bothfrom % of charges · +1 other terms	8	$442	$607	$285	47%	—	$151 – $937
18	Cigna Healthspring percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$1	$7	$25	348%	—	$0 – $101
19	Humana other · outpatient · +10 other terms	8	$5	$5	$3	58%	—	$2 – $8
20	Magellan percent of total billed charges · outpatientfrom % of charges · +4 other terms	8	$1	$201	$392	195%	—	$0 – $1.2k
21	Medicaid fee schedule · outpatient · +6 other terms	7	$1	$27	$63	236%	—	$1 – $180
22	Carefirst facility · fee schedule · both · +6 other terms	5	$145	$144	$46	32%	—	$105 – $234
23	Excellus facility · fee schedule · both · +4 other terms	5	$145	$110	$52	47%	—	$71 – $234
24	Healthcare Highways facility · percent of total billed charges · bothfrom % of charges · +1 other terms	5	$535	$441	$207	47%	—	$112 – $650
25	Highmark facility · fee schedule · both · +6 other terms	5	$145	$145	$47	32%	—	$105 – $234

Page 1 of 2 · 49 payers