Cyclosporine injection, 250 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

CYCLOSPORINE 250 MG/5 ML INTRAVENOUS SOLUTION

Payers reporting HCPCS J7516

Payer pricing summary

Low

Average

$175

Median

$135

High

$638

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +23 other terms	443	$122	$139	$127	92%	—	$1 – $1000
2	Cigna fee schedule · outpatient · +20 other terms	309	$132	$179	$126	70%	—	$20 – $622
3	Blue Cross Blue Shield fee schedule · outpatient · +24 other terms	286	$84	$100	$87	86%	—	$0 – $1.3k
4	Aetna fee schedule · outpatient · +22 other terms	226	$143	$143	$83	58%	—	$1 – $852
5	Humana fee schedule · outpatient · +16 other terms	174	$71	$149	$138	92%	—	$1 – $704
6	Anthem fee schedule · outpatient · +18 other terms	81	$80	$95	$57	60%	—	$26 – $491
7	MultiPlan fee schedule · inpatient · +13 other terms	62	$162	$189	$147	78%	—	$10 – $704
8	Kaiser fee schedule · both · +13 other terms	43	$89	$89	$24	27%	—	$30 – $122
9	Caresource fee schedule · outpatient · +14 other terms	38	$80	$86	$32	38%	—	$1 – $124
10	Highmark facility · fee schedule · outpatient · +9 other terms	33	$74	$114	$80	71%	—	$42 – $436
11	Medica fee schedule · outpatient · +14 other terms	33	$81	$97	$67	70%	—	$5 – $315
12	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$117	$106	$35	33%	—	$44 – $184
13	Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms	28	$154	$166	$78	47%	—	$47 – $498
14	Molina fee schedule · outpatient · +18 other terms	28	$174	$112	$69	62%	—	$1 – $280
15	Baylor Scott White Health Plan facility · fee schedule · inpatient · +2 other terms	26	$68	$69	$1	2%	—	$67 – $71
16	Oscar facility · fee schedule · outpatient · +10 other terms	26	$90	$85	$7	8%	—	$74 – $90
17	Phcs fee schedule · inpatient · +8 other terms	22	$227	$223	$189	84%	—	$23 – $804
18	First Health fee schedule · inpatient · +14 other terms	21	$140	$136	$87	64%	—	$21 – $422
19	Regence professional · fee schedule · outpatient · +9 other terms	20	$50	$52	$8	16%	—	$50 – $88
20	Wellmark fee schedule · outpatient · +11 other terms	20	$71	$68	$10	15%	—	$39 – $73
21	Healthpartners fee schedule · outpatient · +7 other terms	19	$85	$86	$4	5%	—	$83 – $107
22	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	18	$223	$359	$396	110%	—	$160 – $2.7k
23	WellCare professional · fee schedule · outpatient · +10 other terms	15	$74	$73	$3	4%	—	$63 – $77
24	Amerihealth Caritas facility · fee schedule · outpatient · +8 other terms	14	$73	$73	$0	0%	—	$73 – $74
25	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$187	$180	$97	54%	—	$39 – $440

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