Aminocaproic acid 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

Injection, aminocaproic acid, 5mg

Payers reporting HCPCS S0017

Payer pricing summary

Low

Average

$36

Median

$24

High

$253

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +12 other terms	111	$17	$17	$11	62%	—	$1 – $63
2	Cigna fee schedule · outpatient · +12 other terms	78	$12	$14	$7	51%	—	$2 – $52
3	Aetna fee schedule · outpatient · +13 other terms	76	$10	$14	$10	71%	—	$1 – $85
4	Humana fee schedule · outpatient · +11 other terms	76	$16	$24	$16	67%	—	$4 – $46
5	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$20	$18	$6	33%	—	$7 – $31
6	UnitedHealthcare fee schedule · both · +14 other terms	29	$8	$23	$42	185%	—	$8 – $233
7	Anthem facility · fee schedule · outpatient · +6 other terms	26	$11	$13	$9	71%	—	$2 – $43
8	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	20	$3	$22	$51	232%	—	$1 – $163
9	Optum other · outpatient · +5 other terms	17	$40	$57	$38	67%	—	$8 – $135
10	Aetna Better Health other · outpatient · +4 other terms	16	$10	$15	$14	93%	—	$4 – $69
11	Amerihealth Caritas other · outpatient · +2 other terms	16	$10	$15	$14	93%	—	$4 – $69
12	Bcbs La other · outpatient · +2 other terms	16	$24	$31	$18	59%	—	$8 – $68
13	Caresource facility · case rate · outpatient	15	$48	$52	$12	23%	—	$32 – $82
14	Molina facility · case rate · outpatient · +7 other terms	15	$47	$52	$12	23%	—	$33 – $80
15	Bcbs Mn fee schedule · outpatient · +1 other terms	12	$8	$8	$2	26%	—	$4 – $10
16	Bcbs Nj fee schedule · outpatient · +3 other terms	12	$8	$8	—	—	—	$8 – $8
17	Medica fee schedule · both · +5 other terms	10	$14	$15	$7	49%	—	$9 – $65
18	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	8	$47	$253	$349	138%	—	$15 – $786
19	First Health other · outpatient · +7 other terms	6	$20	$25	$8	34%	—	$16 – $42
20	Highmark facility · fee schedule · outpatient · +2 other terms	6	$10	$26	$18	70%	—	$9 – $69
21	MultiPlan other · outpatient · +11 other terms	6	$21	$24	$7	31%	—	$12 – $37
22	Tricare facility · fee schedule · outpatient · +2 other terms	6	$31	$28	$9	34%	—	$6 – $34
23	WellCare other · outpatient · +2 other terms	5	$40	$33	$12	37%	—	$20 – $58
24	Clover facility · other · outpatient	4	$31	$31	$3	10%	—	$27 – $34
25	Ambetter fee schedule · outpatient · +1 other terms	3	$2	$2	$1	41%	—	$1 – $3

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