Brand-name prescription drug

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

Prescription drug,brand name

Payers reporting HCPCS S5001

Payer pricing summary

Low

$24

Average

$406

Median

$365

High

$982

Payer rate distribution

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#
1	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	64	$1.1k	$1.3k	$681	50%	—	$157 – $3.7k
2	First Health percent of total billed charges · outpatientfrom % of charges	33	$771	$631	$475	75%	—	$11 – $1.4k
3	Superior Healthplan percent of total billed charges · outpatientfrom % of charges	27	$116	$133	$80	60%	—	$66 – $339
4	Anthem facility · case rate · outpatient · +5 other terms	15	$15	$17	$4	23%	—	$10 – $26
5	Caresource facility · case rate · outpatient · +2 other terms	15	$16	$17	$4	23%	—	$10 – $27
6	Molina facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$11 – $26
7	UnitedHealthcare fee schedule · outpatient · +6 other terms	15	$16	$14	$4	31%	—	$5 – $16
8	Aetna fee schedule · both · +2 other terms	13	$39	$39	$0	0%	—	$39 – $40
9	Kaiser percent of total billed charges · outpatientfrom % of charges	12	$578	$557	$198	36%	—	$345 – $1.0k
10	Healthcare Highways percent of total billed charges · outpatientfrom % of charges	11	$476	$510	$62	12%	—	$454 – $616
11	Optum facility · case rate · outpatient · +2 other terms	11	$14	$16	$4	22%	—	$13 – $24
12	Medcost percent of total billed charges · outpatientfrom % of charges	9	$573	$427	$307	72%	—	$71 – $951
13	Cigna professional · fee schedule · outpatient · +4 other terms	6	$0	$0	—	—	—	$0 – $0
14	WellCare percent of total billed charges · outpatientfrom % of charges	6	$209	$229	$76	33%	—	$154 – $392
15	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	5	$53	$57	$20	35%	—	$32 – $91
16	Amerihealth Caritas percent of total billed charges · outpatientfrom % of charges	4	$431	$434	$17	4%	—	$414 – $459
17	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$283	$283	—	—	—	$283 – $283
18	Aetna Better Health percent of total billed charges · outpatientfrom % of charges	2	$217	$217	$41	19%	—	$176 – $258
19	Humana facility · other · outpatient · +2 other terms	2	$23	$23	$3	15%	—	$19 – $26
20	Medica percent of total billed charges · outpatientfrom % of charges	2	$365	$365	$187	51%	—	$178 – $551
21	Ambetter percent of total billed charges · outpatientfrom % of charges	1	$365	$365	—	—	—	$365 – $365
22	Bcbs Il professional · fee schedule · both	1	$24	$24	—	—	—	$24 – $24
23	Healthpartners facility · fee schedule · outpatient	1	$65	$65	—	—	—	$65 – $65
24	Magellan percent of total billed charges · outpatientfrom % of charges	1	$806	$806	—	—	—	$806 – $806
25	Oscar percent of total billed charges · bothfrom % of charges	1	$484	$484	—	—	—	$484 – $484

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