Elliott's B solution injection

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

CHEMO DILUENT 1 (PF) 73 MG-19 MG-8 MG-3 MG/10 ML INTRATHECAL SOLUTION

Payers reporting HCPCS J9175

Payer pricing summary

Low

Average

$191

Median

$25

High

$3.7k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +14 other terms	356	$19	$21	$10	46%	—	$1 – $72
2	Cigna fee schedule · outpatient · +12 other terms	182	$19	$32	$23	72%	—	$7 – $89
3	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	170	$21	$25	$15	60%	—	$1 – $66
4	Aetna fee schedule · outpatient · +15 other terms	119	$18	$20	$12	57%	—	$1 – $106
5	Humana fee schedule · outpatient · +12 other terms	72	$30	$41	$24	59%	—	$1 – $72
6	Kaiser fee schedule · both · +4 other terms	47	$6	$6	$3	46%	—	$4 – $20
7	Anthem fee schedule · outpatient · +11 other terms	37	$11	$17	$8	45%	—	$5 – $48
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$39	$35	$12	33%	—	$14 – $61
9	Caresource facility · case rate · outpatient · +5 other terms	15	$48	$52	$12	23%	—	$32 – $82
10	Molina facility · case rate · outpatient · +10 other terms	15	$47	$52	$12	23%	—	$33 – $80
11	Oscar facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	15	$14	$33	$50	150%	—	$14 – $161
12	Wellmark fee schedule · both · +3 other terms	13	$12	$12	—	—	—	$12 – $12
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$11	$8	$5	62%	—	$1 – $13
14	Bcbs Nj fee schedule · outpatient	12	$10	$10	—	—	—	$10 – $10
15	Highmark fee schedule · outpatient · +3 other terms	12	$11	$13	$9	70%	—	$10 – $98
16	Optum facility · case rate · outpatient · +4 other terms	11	$45	$49	$11	22%	—	$40 – $73
17	Medica fee schedule · outpatient · +4 other terms	10	$20	$20	$5	25%	—	$12 – $25
18	Medical Mutual facility · fee schedule · outpatient · +2 other terms	10	$23	$23	$6	25%	—	$14 – $36
19	Ucare fee schedule · both · +1 other terms	9	$4	$4	$0	3%	—	$4 – $4
20	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	8	$29	$68	$113	167%	—	$14 – $367
21	Aetna Better Health fee schedule · inpatient · +3 other terms	7	$10	$10	—	—	—	$10 – $10
22	Carefirst percent of total billed charges · outpatientfrom % of charges · +2 other terms	7	$25	$25	$9	35%	—	$14 – $39
23	Cigna Healthspring percent of total billed charges · outpatientfrom % of charges	7	$25	$25	$9	35%	—	$14 – $39
24	Magellan percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$25	$25	$9	35%	—	$14 – $39
25	Tricare percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$25	$25	$9	35%	—	$14 – $39

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