Pentamidine isethionate 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

PENTAMIDINE 300 MG SOLR 1 EACH VIAL

Payers reporting HCPCS S0080

Payer pricing summary

Low

$78

Average

$346

Median

$238

High

$1.4k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +13 other terms	165	$188	$323	$221	68%	—	$91 – $852
2	Blue Cross Blue Shield fee schedule · outpatient · +14 other terms	116	$241	$332	$179	54%	—	$1 – $715
3	Aetna fee schedule · outpatient · +17 other terms	110	$178	$203	$126	62%	—	$80 – $1.0k
4	Humana fee schedule · outpatient · +11 other terms	63	$370	$305	$176	58%	—	$54 – $503
5	UnitedHealthcare fee schedule · outpatient · +16 other terms	37	$132	$168	$92	55%	—	$96 – $405
6	Anthem fee schedule · outpatient · +11 other terms	32	$107	$163	$73	44%	—	$98 – $462
7	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$450	$409	$136	33%	—	$167 – $708
8	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	18	$87	$82	$52	63%	—	$1 – $154
9	Highmark facility · fee schedule · outpatient · +7 other terms	16	$599	$659	$417	63%	—	$106 – $1.8k
10	Caresource facility · case rate · outpatient · +1 other terms	15	$48	$52	$12	23%	—	$32 – $82
11	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	15	$436	$464	$220	47%	—	$181 – $745
12	Molina facility · case rate · outpatient · +7 other terms	15	$47	$52	$12	23%	—	$33 – $80
13	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$97	$99	$3	3%	—	$97 – $102
14	Bcbs La fee schedule · outpatient · +1 other terms	13	$111	$118	$13	11%	—	$111 – $141
15	Ucare facility · percent of total billed charges · inpatientfrom % of charges · +3 other terms	13	$134	$134	—	—	—	$134 – $134
16	Wellmark fee schedule · both · +4 other terms	13	$98	$98	—	—	—	$98 – $98
17	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$199	$147	$68	46%	—	$100 – $249
18	Bcbs Nj fee schedule · outpatient · +4 other terms	12	$97	$97	—	—	—	$97 – $97
19	Optum facility · case rate · outpatient · +4 other terms	11	$45	$49	$11	22%	—	$40 – $73
20	Medica fee schedule · outpatient · +8 other terms	10	$198	$200	$50	25%	—	$120 – $256
21	Tricare facility · fee schedule · outpatient	8	$458	$417	$166	40%	—	$10 – $601
22	Amerihealth Caritas other · outpatient · +4 other terms	7	$137	$153	$47	31%	—	$82 – $223
23	Phcs facility · percent of total billed charges · outpatientfrom % of charges · +6 other terms	6	$273	$286	$172	60%	—	$9 – $628
24	Clover facility · other · outpatient	5	$458	$458	$115	25%	—	$338 – $601
25	Kaiser fee schedule · both · +4 other terms	5	$70	$75	$24	33%	—	$55 – $131

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