Intra-articular hyaluronan injection, per dose

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

sodium hyaluronate 10 mg/mL intra-articular Sol [CMH]

Medicaid pricing summary

Low

$65

Average

$284

Median

$146

High

$1.9k

Medicaid rate distribution

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39 hospital rates

#		Plans
1	ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient	1	$233	$233	—	—	—	$233 – $233
2	ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient	1	$219	$219	—	—	—	$219 – $219
3	ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient	1	$219	$219	—	—	—	$219 – $219
4	Bullhead City Hospital Corporation City, AZ facility · other · outpatient	1	$93	$93	—	—	—	$93 – $93
5	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$65	$65	—	—	—	$65 – $65
6	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · both	2	$110	$110	$10	9%	—	$100 – $120
7	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$254	$254	—	—	—	$254 – $254
8	Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both	1	$78	$78	—	—	—	$78 – $78
9	GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient	1	$264	$264	—	—	—	$264 – $264
10	Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient	1	$89	$89	—	—	—	$89 – $89
11	Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient	1	$139	$139	—	—	—	$139 – $139
12	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$133	$133	—	—	—	$133 – $133
13	INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient	1	$65	$65	—	—	—	$65 – $65
14	LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient	1	$694	$694	$475	68%	—	$219 – $1.2k
15	Longview Medical Center LP Longview, TX facility · fee schedule · outpatient	1	$146	$146	—	—	—	$146 – $146
16	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
17	Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
18	Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$247	$247	—	—	—	$247 – $247
19	Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient	2	$88	$88	$15	17%	—	$73 – $102
20	Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$247	$247	—	—	—	$247 – $247
21	Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient	2	$88	$88	$15	17%	—	$73 – $102
22	Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient	2	$88	$88	$15	17%	—	$73 – $102
23	Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$177	$177	—	—	—	$177 – $177
24	Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient	2	$88	$88	$15	17%	—	$73 – $102
25	Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges	1	$177	$177	—	—	—	$177 – $177

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HCPCS J7321