Antibiotic infusion every four hours

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

HIT antibiotic q4h diem

Payers reporting HCPCS S9504

Payer pricing summary

Low

Average

$124

Median

$106

High

$364

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	30	$299	$404	$359	89%	—	$0 – $1.9k
2	Aetna fee schedule · outpatient · +5 other terms	20	$25	$57	$56	97%	—	$25 – $250
3	Cigna facility · fee schedule · outpatient · +3 other terms	18	$80	$91	$66	73%	—	$26 – $364
4	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$212	$304	$368	121%	—	$109 – $1.7k
5	Highmark fee schedule · outpatient · +3 other terms	10	$138	$138	—	—	—	$138 – $138
6	Medica fee schedule · both · +1 other terms	9	$93	$93	—	—	—	$93 – $93
7	Ucare fee schedule · both · +3 other terms	9	$96	$96	$5	5%	—	$90 – $102
8	Anthem professional · fee schedule · outpatient · +2 other terms	8	$80	$80	—	—	—	$80 – $80
9	Aetna Better Health fee schedule · inpatient · +1 other terms	7	$26	$26	—	—	—	$26 – $26
10	Humana fee schedule · inpatient · +1 other terms	5	$25	$25	—	—	—	$25 – $25
11	UnitedHealthcare fee schedule · inpatient · +5 other terms	5	$169	$169	—	—	—	$169 – $169
12	First Health professional · fee schedule · both	3	$28	$28	—	—	—	$28 – $28
13	Kaiser fee schedule · both	2	$126	$126	—	—	—	$126 – $126
14	Molina facility · case rate · outpatient · +2 other terms	2	$90	$90	$4	5%	—	$86 – $94
15	Optum facility · fee schedule · outpatient	2	$126	$126	$9	7%	—	$117 – $134
16	Bcbs Id facility · fee schedule · outpatient · +1 other terms	1	$188	$188	—	—	—	$188 – $188
17	Bcbs Il professional · fee schedule · both	1	$80	$80	—	—	—	$80 – $80
18	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
19	Bcbs Nc facility · fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
20	Bcbs Nv fee schedule · outpatient	1	$80	$80	—	—	—	$80 – $80
21	Bcbs Vt professional · fee schedule · both · +1 other terms	1	$188	$188	—	—	—	$188 – $188
22	Bcbs Wy fee schedule · both	1	$125	$125	—	—	—	$125 – $125
23	Excellus professional · percent of total billed charges · bothfrom % of charges	1	$175	$175	—	—	—	$175 – $175
24	Healthpartners facility · fee schedule · outpatient	1	$364	$364	—	—	—	$364 – $364
25	Wellmark case rate · outpatient · +1 other terms	1	$208	$208	—	—	—	$208 – $208