Dolasetron oral anti-nausea tablet for chemotherapy

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

Dolasetron mesylate oral

Payers reporting HCPCS Q0180

Payer pricing summary

Low

Average

$176

Median

$104

High

$1.2k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +13 other terms	360	$144	$173	$130	75%	—	$43 – $899
2	Cigna fee schedule · outpatient · +12 other terms	181	$115	$188	$131	70%	—	$56 – $633
3	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	169	$198	$235	$148	63%	—	$0 – $657
4	Aetna fee schedule · outpatient · +13 other terms	109	$109	$127	$69	54%	—	$49 – $627
5	Humana fee schedule · outpatient · +9 other terms	71	$355	$537	$352	65%	—	$58 – $986
6	Kaiser fee schedule · both · +2 other terms	43	$88	$86	$32	37%	—	$61 – $261
7	Anthem fee schedule · outpatient · +9 other terms	35	$68	$106	$49	46%	—	$60 – $310
8	Bcbs Tx fee schedule · outpatient · +3 other terms	30	$414	$376	$125	33%	—	$154 – $650
9	Caresource facility · case rate · outpatient · +5 other terms	15	$9	$10	$2	23%	—	$6 – $15
10	Molina facility · case rate · outpatient · +5 other terms	15	$9	$10	$2	23%	—	$6 – $15
11	Wellmark fee schedule · both · +6 other terms	13	$59	$59	—	—	—	$59 – $59
12	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$114	$80	$58	73%	—	$1 – $143
13	Bcbs Nj fee schedule · outpatient	12	$59	$59	$1	1%	—	$59 – $60
14	Highmark fee schedule · outpatient · +4 other terms	12	$68	$68	$1	2%	—	$62 – $79
15	Optum facility · case rate · outpatient · +4 other terms	11	$8	$9	$2	22%	—	$7 – $13
16	Medica fee schedule · outpatient · +6 other terms	10	$122	$123	$31	25%	—	$74 – $158
17	Aetna Better Health professional · fee schedule · both · +3 other terms	8	$0	$4	$15	346%	—	$0 – $55
18	Bcbs Il professional · fee schedule · both	8	$0	$2	$11	467%	—	$0 – $55
19	First Health professional · fee schedule · both · +6 other terms	8	$0	$25	$33	129%	—	$0 – $68
20	Oscar percent of total billed charges · outpatientfrom % of charges · +3 other terms	8	$250	$452	$220	49%	—	$0 – $636
21	WellCare professional · fee schedule · both · +1 other terms	8	$0	$0	—	—	—	$0 – $0
22	Bcbs La fee schedule · outpatient · +1 other terms	6	$103	$99	$12	12%	—	$64 – $103
23	Excellus facility · fee schedule · outpatient	5	$98	$110	$69	63%	—	$60 – $288
24	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	5	$140	$139	$85	61%	—	$51 – $260
25	Tricare fee schedule · outpatient · +1 other terms	5	$499	$499	—	—	—	$499 – $499

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