Bleomycin sulfate injection, 15 units

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

BLEOMYCIN SULFATE 6 UNIT/ML (SPDIL) INJ

Payers reporting HCPCS J9040

Payer pricing summary

Low

Average

$246

Median

$143

High

$3.1k

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	322	$62	$97	$252	259%	46–460	$0 – $9.5k
2	Anthem fee schedule · outpatient · +20 other terms	107	$35	$88	$122	140%	26–260	$17 – $947
3	Medica fee schedule · outpatient · +16 other terms	35	$51	$60	$52	86%	10–100	$12 – $411
4	Aetna fee schedule · outpatient · +25 other terms	287	$45	$128	$193	151%	4–40	$1 – $3.6k
5	UnitedHealthcare fee schedule · outpatient · +30 other terms	514	$38	$62	$96	156%	2–20	$1 – $2.0k
6	Florida Blue percent of total billed charges · bothfrom % of charges	1	$107	$107	$22	20%	2–20	$79 – $146
7	Cigna fee schedule · outpatient · +23 other terms	397	$40	$86	$97	113%	1–10	$0 – $785
8	Caresource fee schedule · outpatient · +15 other terms	64	$27	$39	$55	144%	1–10	$1 – $578
9	Humana fee schedule · outpatient · +22 other terms	203	$29	$150	$270	180%	—	$1 – $3.9k
10	MultiPlan fee schedule · outpatient · +17 other terms	80	$252	$307	$371	121%	—	$1 – $3.9k
11	Molina fee schedule · outpatient · +20 other terms	59	$49	$59	$63	108%	—	$1 – $346
12	Highmark facility · fee schedule · outpatient · +14 other terms	52	$40	$472	$555	117%	—	$22 – $2.1k
13	Kaiser fee schedule · both · +17 other terms	47	$26	$27	$8	29%	—	$21 – $51
14	First Health fee schedule · outpatient · +16 other terms	31	$216	$227	$114	50%	—	$22 – $769
15	Bcbs Tx fee schedule · outpatient · +4 other terms	30	$138	$125	$42	33%	—	$51 – $217
16	Excellus facility · fee schedule · both · +8 other terms	29	$34	$48	$39	82%	—	$22 – $237
17	Carefirst facility · fee schedule · both · +10 other terms	28	$34	$52	$41	78%	—	$23 – $237
18	Medcost percent of total billed charges · outpatientfrom % of charges · +6 other terms	28	$243	$234	$87	37%	—	$89 – $436
19	Premera facility · fee schedule · both · +6 other terms	28	$34	$52	$41	79%	—	$23 – $237
20	Regence facility · fee schedule · both · +12 other terms	28	$34	$51	$40	79%	—	$23 – $237
21	Wellmark facility · fee schedule · both · +13 other terms	28	$34	$48	$37	77%	—	$23 – $237
22	Baylor Scott White Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	26	$195	$173	$43	25%	—	$112 – $266
23	Oscar facility · fee schedule · outpatient · +12 other terms	26	$26	$26	$2	7%	—	$23 – $27
24	Tricare facility · fee schedule · outpatient · +14 other terms	25	$171	$190	$107	56%	—	$23 – $440
25	Amerihealth Caritas facility · fee schedule · outpatient · +10 other terms	23	$22	$23	$3	14%	—	$22 – $32

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