Injection of calaspargase pegol (asparaginase chemotherapy drug), 10 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

CALASPARGASE PEGOL-MKNL 3750 UNIT/5ML IV SOLN

Tricare pricing summary

Low

$70

Average

$18.7k

Median

$223

High

$104.5k

Tricare rate distribution

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53 hospital rates

#		Plans
1	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$82	$82	—	—	—	$82 – $82
2	CLAIBORNE MEDICAL CENTER Tazewell, TN fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
3	CUMBERLAND MEDICAL CENTER, INC. Crossville, TN fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
4	CentraState Medical Center Freehold Township, NJ other · outpatient	2	$385	$385	—	—	—	$385 – $385
5	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$42.0k	$42.0k	—	—	—	$42.0k – $42.0k
6	Chilton Medical Center Pompton Plains, NJ other · outpatient	2	$385	$385	—	—	—	$385 – $385
7	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$82	$82	—	—	—	$82 – $82
8	FORT LOUDOUN MEDICAL CENTER Lenoir City, TN fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
9	FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
10	Hackettstown Medical Center Hackettstown, NJ other · outpatient	2	$385	$385	—	—	—	$385 – $385
11	Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges	1	$89.9k	$89.9k	—	—	—	$89.9k – $89.9k
12	Kaleida Health Buffalo, NY fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
13	LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient	1	$77	$77	—	—	—	$77 – $77
14	LECONTE MEDICAL CENTER Sevierville, TN fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
15	Little Company of Mary Hospital of Indiana Inc Jasper, IN facility · case rate · outpatient	1	$70	$70	—	—	—	$70 – $70
16	METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
17	MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN fee schedule · outpatient	1	$73	$73	—	—	—	$73 – $73
18	MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$95	$95	—	—	—	$95 – $95
19	MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient	1	$82	$82	—	—	—	$82 – $82
20	MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$274	$274	—	—	—	$274 – $274
21	MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$225	$225	—	—	—	$225 – $225
22	MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges	1	$124	$124	—	—	—	$124 – $124
23	MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges	1	$178	$178	—	—	—	$178 – $178
24	MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges	1	$107	$107	—	—	—	$107 – $107
25	MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges	1	$222	$222	—	—	—	$222 – $222