Cimetidine injection, 300 mg

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, cimetidine HCl, 300 mg

Payers reporting HCPCS S0023

Payer pricing summary

Low

Average

$32

Median

$13

High

$344

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +8 other terms	183	$5	$7	$5	72%	—	$2 – $21
2	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	163	$5	$7	$10	144%	—	$0 – $223
3	Aetna fee schedule · outpatient · +8 other terms	80	$3	$5	$16	362%	—	$0 – $208
4	Humana fee schedule · outpatient · +8 other terms	68	$7	$11	$7	61%	—	$2 – $20
5	Kaiser fee schedule · both · +2 other terms	43	$3	$3	$1	27%	—	$2 – $4
6	Anthem fee schedule · outpatient · +7 other terms	35	$0	$0	$1	700%	—	$0 – $14
7	UnitedHealthcare fee schedule · both · +9 other terms	31	$3	$2	$2	75%	—	$0 – $8
8	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$10	$9	$3	33%	—	$4 – $16
9	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
10	Molina facility · case rate · outpatient · +4 other terms	15	$47	$52	$12	23%	—	$33 – $80
11	Medica fee schedule · outpatient · +6 other terms	13	$6	$6	$2	27%	—	$3 – $9
12	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$4	$4	$1	29%	—	$2 – $5
13	Optum facility · case rate · outpatient · +2 other terms	11	$45	$49	$11	22%	—	$40 – $73
14	Ucare fee schedule · outpatient · +4 other terms	11	$2	$4	$2	55%	—	$2 – $9
15	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$2	$2	—	—	—	$2 – $2
16	Bcbs La fee schedule · outpatient · +1 other terms	6	$3	$3	—	—	—	$3 – $3
17	First Health facility · fee schedule · outpatient · +2 other terms	4	$7	$7	—	—	—	$7 – $7
18	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$3	$3	—	—	—	$3 – $3
19	Medcost percent of total billed charges · outpatientfrom % of charges · +1 other terms	3	$129	$129	$21	16%	—	$100 – $147
20	Sanford Health Plan fee schedule · inpatient · +1 other terms	3	$9	$9	$0	4%	—	$9 – $9
21	Amerihealth Caritas professional · fee schedule · outpatient	2	$10	$10	$0	1%	—	$10 – $10
22	MultiPlan fee schedule · both · +4 other terms	2	$7	$7	$4	51%	—	$3 – $10
23	Bcbs Ca fee schedule · outpatient · +1 other terms	1	$2	$2	—	—	—	$2 – $2
24	Bcbs Nv fee schedule · outpatient	1	$2	$2	—	—	—	$2 – $2
25	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$17	$17	$7	42%	—	$10 – $30

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