Sildenafil citrate 20 mg tablet

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

SILDENAFIL CITRATE 20 MG PO TABS

Payers reporting HCPCS S0090

Payer pricing summary

Low

Average

$110

Median

$70

High

$615

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +12 other terms	184	$1	$1	$1	147%	—	$0 – $26
2	Blue Cross Blue Shield fee schedule · outpatient · +13 other terms	163	$7	$14	$25	175%	—	$0 – $212
3	Aetna fee schedule · outpatient · +12 other terms	100	$1	$2	$17	712%	—	$0 – $167
4	Humana fee schedule · outpatient · +9 other terms	71	$43	$68	$45	66%	—	$0 – $125
5	Kaiser fee schedule · both · +5 other terms	43	$20	$19	$5	27%	—	$14 – $27
6	Anthem facility · fee schedule · outpatient · +9 other terms	41	$1	$8	$18	218%	—	$0 – $64
7	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	36	$19	$52	$92	178%	—	$0 – $395
8	UnitedHealthcare fee schedule · outpatient · +13 other terms	32	$2	$41	$54	132%	—	$0 – $180
9	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$10	$9	$3	33%	—	$4 – $16
10	Ambetter facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	17	$3	$43	$51	119%	—	$2 – $115
11	Healthcare Highways percent of total billed charges · outpatientfrom % of charges · +1 other terms	17	$66	$129	$141	109%	—	$1 – $446
12	Caresource facility · case rate · outpatient · +2 other terms	15	$48	$52	$12	23%	—	$32 – $82
13	Molina facility · case rate · outpatient · +6 other terms	15	$47	$52	$12	23%	—	$33 – $80
14	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges · +2 other terms	13	$220	$160	$215	135%	—	$3 – $636
15	Wellmark fee schedule · both · +2 other terms	13	$0	$0	—	—	—	$0 – $0
16	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$66	$63	$18	29%	—	$34 – $83
17	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$0	$0	—	—	—	$0 – $0
18	Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms	12	$300	$557	$1.1k	205%	—	$5 – $5.3k
19	Highmark fee schedule · outpatient · +4 other terms	11	$0	$2	$11	563%	—	$0 – $98
20	Optum facility · case rate · outpatient · +3 other terms	11	$45	$49	$11	22%	—	$40 – $73
21	Carefirst percent of total billed charges · outpatientfrom % of charges · +2 other terms	10	$260	$327	$195	60%	—	$7 – $636
22	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	10	$5	$8	$6	72%	—	$4 – $20
23	Medica fee schedule · outpatient · +7 other terms	10	$1	$1	$0	25%	—	$0 – $1
24	Magellan percent of total billed charges · outpatientfrom % of charges · +1 other terms	9	$288	$261	$224	86%	—	$1 – $636
25	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	8	$2	$6	$14	239%	—	$1 – $60

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