Sargramostim injection, 50 mcg

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

SARGRAMOSTIM 250 MCG/ML INJECTION (WET VIAL)

Payers reporting HCPCS J2820

Payer pricing summary

Low

$32

Average

$320

Median

$215

High

$1.1k

Payer rate distribution

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#
1	Caresource fee schedule · outpatient · +14 other terms	78	$66	$77	$91	118%	1–10	$1 – $1.4k
2	UnitedHealthcare fee schedule · outpatient · +29 other terms	615	$93	$103	$91	89%	—	$0 – $960
3	Aetna fee schedule · outpatient · +25 other terms	408	$75	$129	$168	130%	—	$1 – $3.5k
4	Blue Cross Blue Shield fee schedule · outpatient · +25 other terms	369	$93	$137	$169	123%	—	$0 – $2.7k
5	Cigna fee schedule · outpatient · +22 other terms	369	$90	$164	$150	92%	—	$1 – $1.4k
6	Humana fee schedule · outpatient · +22 other terms	353	$59	$108	$134	125%	—	$0 – $832
7	Molina fee schedule · outpatient · +20 other terms	136	$77	$97	$80	83%	—	$1 – $884
8	Anthem fee schedule · outpatient · +22 other terms	132	$84	$146	$172	118%	—	$47 – $1.2k
9	WellCare fee schedule · outpatient · +15 other terms	121	$58	$62	$45	72%	—	$47 – $643
10	Kaiser fee schedule · outpatient · +18 other terms	74	$93	$247	$356	144%	—	$49 – $1.9k
11	Ambetter facility · fee schedule · outpatient · +15 other terms	65	$106	$211	$632	299%	—	$50 – $4.4k
12	Devoted fee schedule · outpatient · +10 other terms	58	$53	$64	$76	118%	—	$46 – $656
13	MultiPlan fee schedule · outpatient · +15 other terms	38	$914	$650	$607	93%	—	$56 – $2.9k
14	Medicare fee schedule · outpatient · +11 other terms	36	$59	$59	$4	7%	—	$1 – $68
15	Optum fee schedule · outpatient · +16 other terms	33	$98	$239	$284	119%	—	$45 – $1.0k
16	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$194	$180	$78	43%	—	$56 – $344
17	Highmark facility · fee schedule · outpatient · +11 other terms	30	$79	$345	$474	137%	—	$40 – $1.7k
18	Clover fee schedule · outpatient · +6 other terms	28	$62	$60	$7	11%	—	$48 – $71
19	Oscar facility · fee schedule · outpatient · +12 other terms	28	$77	$75	$13	17%	—	$62 – $112
20	Aetna Better Health fee schedule · outpatient · +14 other terms	23	$61	$56	$7	13%	—	$50 – $70
21	Amerihealth Caritas facility · fee schedule · outpatient · +11 other terms	21	$61	$140	$166	118%	—	$50 – $672
22	Medica facility · fee schedule · outpatient · +17 other terms	21	$53	$64	$61	95%	—	$20 – $507
23	Medical Mutual fee schedule · outpatient · +6 other terms	21	$102	$109	$62	57%	—	$46 – $450
24	Regence facility · fee schedule · outpatient · +8 other terms	21	$64	$71	$24	33%	—	$43 – $138
25	Tricare facility · fee schedule · outpatient · +14 other terms	21	$62	$475	$482	101%	—	$41 – $1.2k

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