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.
Original text from hospital filings
Didanosine (ddI), 25 mg
Low
$1
Average
$8
Median
$2
High
$53
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 55.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna fee schedule · outpatient · +7 other terms | 182 | $1 | $2 | $1 | 72% | — | $1 – $5 |
| 2 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 159 | $1 | $1 | $1 | 71% | — | $0 – $5 |
| 3 | Aetna fee schedule · outpatient · +9 other terms | 100 | $1 | $1 | $1 | 110% | — | $0 – $6 |
| 4 | Humana fee schedule · outpatient · +7 other terms | 69 | $2 | $4 | $3 | 67% | — | $0 – $8 |
| 5 | Anthem fee schedule · outpatient · +6 other terms | 35 | $0 | $0 | $1 | 714% | — | $0 – $5 |
| 6 | Bcbs Tx fee schedule · outpatient · +1 other terms | 30 | $2 | $2 | $1 | 34% | — | $1 – $3 |
| 7 | UnitedHealthcare fee schedule · both · +9 other terms | 26 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 8 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $48 | $52 | $12 | 23% | — | $32 – $82 |
| 9 | Molina facility · case rate · outpatient · +4 other terms | 15 | $47 | $52 | $12 | 23% | — | $33 – $80 |
| 10 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $1 | $1 | $0 | 30% | — | $0 – $1 |
| 11 | Highmark fee schedule · outpatient · +3 other terms | 11 | $1 | $2 | $10 | 478% | — | $1 – $98 |
| 12 | Optum facility · case rate · outpatient | 11 | $45 | $49 | $11 | 22% | — | $40 – $73 |
| 13 | Medica fee schedule · outpatient · +4 other terms | 10 | $2 | $2 | $0 | 25% | — | $1 – $2 |
| 14 | Aetna Better Health fee schedule · inpatient · +1 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Bcbs La fee schedule · outpatient · +1 other terms | 6 | $1 | $1 | $0 | 2% | — | $1 – $1 |
| 16 | First Health facility · fee schedule · outpatient · +3 other terms | 4 | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Bcbs Ks fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 18 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 19 | Kaiser fee schedule · both · +1 other terms | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 20 | MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 2 | $7 | $7 | $5 | 82% | — | $1 – $12 |
| 21 | Bcbs Ca fee schedule · outpatient · +1 other terms | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 22 | Bcbs Nv fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 23 | Bcbs Vt professional · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Healthpartners facility · fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 25 | Wellmark case rate · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
← Hospitals reporting HCPCS S0137 · Snapshot 20261112T181611Z-3fa9fb76