Epoprostenol diluent

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

Sterile dilutant for epoprostenol, 50 ml

Payers reporting HCPCS S0155

Payer pricing summary

Low

$10

Average

$78

Median

$31

High

$1.1k

Payer rate distribution

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#
1	Cigna fee schedule · outpatient · +9 other terms	182	$28	$45	$32	72%	—	$12 – $126
2	Blue Cross Blue Shield fee schedule · outpatient · +9 other terms	156	$25	$29	$18	61%	—	$1 – $94
3	Humana fee schedule · outpatient · +9 other terms	69	$86	$80	$41	52%	—	$14 – $171
4	Aetna fee schedule · outpatient · +12 other terms	57	$14	$38	$35	92%	—	$11 – $163
5	Anthem facility · fee schedule · outpatient · +9 other terms	38	$28	$40	$56	139%	—	$12 – $342
6	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$35	$32	$11	33%	—	$13 – $55
7	Molina facility · case rate · outpatient · +10 other terms	29	$171	$148	$61	41%	—	$78 – $308
8	UnitedHealthcare fee schedule · both · +12 other terms	26	$15	$17	$3	18%	—	$12 – $26
9	MultiPlan percent of total billed charges · outpatientfrom % of charges · +4 other terms	18	$102	$167	$120	72%	—	$21 – $540
10	Caresource facility · case rate · outpatient · +1 other terms	15	$185	$199	$46	23%	—	$124 – $314
11	Optum facility · case rate · outpatient · +2 other terms	13	$164	$171	$57	33%	—	$74 – $279
12	Wellmark fee schedule · both · +3 other terms	13	$15	$15	—	—	—	$15 – $15
13	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$17	$16	$5	28%	—	$9 – $21
14	Bcbs Nj fee schedule · outpatient	12	$14	$14	—	—	—	$14 – $14
15	Highmark fee schedule · outpatient · +3 other terms	11	$16	$24	$55	224%	—	$15 – $527
16	Medica fee schedule · outpatient · +5 other terms	10	$29	$29	$7	25%	—	$17 – $37
17	Aetna Better Health fee schedule · inpatient · +4 other terms	7	$14	$14	—	—	—	$14 – $14
18	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	7	$86	$87	$3	3%	—	$86 – $93
19	Bcbs La fee schedule · outpatient · +1 other terms	6	$13	$14	$1	7%	—	$13 – $17
20	Excellus facility · fee schedule · outpatient	5	$23	$26	$17	63%	—	$15 – $69
21	First Health facility · fee schedule · outpatient · +5 other terms	5	$42	$43	$2	4%	—	$42 – $47
22	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	5	$7	$10	$8	77%	—	$1 – $23
23	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$17	$17	—	—	—	$17 – $17
24	Sanford Health Plan fee schedule · outpatient · +1 other terms	3	$15	$15	—	—	—	$15 – $15
25	Kaiser fee schedule · both · +3 other terms	2	$15	$15	—	—	—	$15 – $15

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