Calcitriol 0.25 mcg oral capsule

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CALCITRIOL 1 MCG/ML ORAL SOLUTION

Payers reporting HCPCS S0169

Payer pricing summary

Low

Average

$21

Median

High

$217

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna fee schedule · outpatient · +11 other terms	184	$1	$1	$1	72%	—	$0 – $2
2	Blue Cross Blue Shield fee schedule · outpatient · +15 other terms	143	$1	$2	$1	57%	—	$0 – $5
3	MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms	94	$25	$66	$255	384%	—	$2 – $2.4k
4	Humana fee schedule · outpatient · +10 other terms	71	$3	$5	$3	65%	—	$0 – $10
5	Aetna fee schedule · outpatient · +13 other terms	64	$0	$1	$1	87%	—	$0 – $4
6	Kaiser fee schedule · both · +3 other terms	41	$2	$1	$0	27%	—	$1 – $2
7	UnitedHealthcare fee schedule · outpatient · +14 other terms	39	$1	$1	$1	84%	—	$0 – $3
8	Anthem fee schedule · outpatient · +8 other terms	35	$0	$1	$0	90%	—	$0 – $5
9	Bcbs Tx fee schedule · outpatient · +1 other terms	30	$2	$2	$1	34%	—	$1 – $4
10	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	30	$3	$8	$27	353%	—	$0 – $173
11	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	18	$12	$11	$6	53%	—	$1 – $24
12	Caresource facility · case rate · outpatient · +2 other terms	15	$48	$52	$12	23%	—	$32 – $82
13	Molina facility · case rate · outpatient · +7 other terms	15	$47	$52	$12	23%	—	$33 – $80
14	Aetna Better Health fee schedule · outpatient · +3 other terms	13	$0	$1	$0	57%	—	$0 – $1
15	Wellmark fee schedule · both · +2 other terms	13	$0	$0	—	—	—	$0 – $0
16	Bcbs Nj fee schedule · outpatient · +1 other terms	12	$1	$1	$0	34%	—	$0 – $1
17	Ambetter percent of total billed charges · outpatientfrom % of charges	11	$9	$36	$55	153%	—	$3 – $173
18	Highmark fee schedule · outpatient · +4 other terms	11	$0	$2	$11	560%	—	$0 – $98
19	Optum facility · case rate · outpatient · +3 other terms	11	$45	$49	$11	22%	—	$40 – $73
20	Medcost percent of total billed charges · outpatientfrom % of charges · +2 other terms	10	$7	$28	$120	424%	—	$4 – $757
21	Medica fee schedule · both · +9 other terms	10	$1	$1	$0	84%	—	$0 – $4
22	Ucare fee schedule · both · +1 other terms	9	$1	$1	$0	3%	—	$1 – $1
23	Bcbs Mn fee schedule · both · +1 other terms	8	$1	$1	—	—	—	$1 – $1
24	Oscar percent of total billed charges · outpatientfrom % of charges	7	$60	$72	$151	208%	—	$1 – $572
25	WellCare percent of total billed charges · outpatientfrom % of charges · +1 other terms	7	$2	$45	$159	353%	—	$1 – $640

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