Injection of cidofovir, 375 mg at Allina Health Systems

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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

cidofovir 75 mg/mL Soln 5 mL VIAL

Rapids, MN

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How this price compares nationally

Allina Health Systems’s median price of $720 is 5% above the median hospital's median price ($686), higher than 53% of the 1,653 hospitals reporting HCPCS J0740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0740 at Allina Health Systems

Negotiated rates from the hospital’s own file: 9 payers, 28 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	UnitedHealthcare united healthcare (um) facility · case rate · outpatient	$0	$0	—	—	—	$0 – $0
2	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$311	$311	$41	13%	—	$269 – $352
3	Medica medica pmap (um) facility · percent of total billed charges · outpatientfrom % of charges	$343	$343	$45	13%	—	$297 – $388
4	Medicaid medicaid ma (m) facility · fee schedule · outpatient	$489	$489	—	—	—	$489 – $489
5	Aetna allina aetna medicare (m) facility · fee schedule · outpatient	$498	$498	—	—	—	$498 – $498
6	Medicare medicare (m) facility · fee schedule · outpatient	$524	$524	—	—	—	$524 – $524
7	Bcbs Mn bc pmap (amu) facility · other · outpatient	$531	$531	—	—	—	$531 – $531
8	Aetna aetna elevate (amu) facility · percent of total billed charges · outpatientfrom % of charges	$544	$544	$72	13%	—	$472 – $616
9	Medica medica medicare (m) facility · fee schedule · outpatient	$545	$545	—	—	—	$545 – $545
10	Blue Cross Blue Shield bc medicare (m) facility · fee schedule · outpatient	$551	$551	—	—	—	$551 – $551
11	Aetna aetna performance (amu) facility · percent of total billed charges · outpatientfrom % of charges	$579	$579	$77	13%	—	$502 – $656
12	Bcbs Mn bc premier (m u) facility · other · outpatient	$599	$599	—	—	—	$599 – $599
13	UnitedHealthcare uhc ubh pmap (m) facility · other · outpatient	$611	$611	—	—	—	$611 – $611
14	Medica medica dual solutions (m) facility · percent of total billed charges · outpatientfrom % of charges	$685	$685	$91	13%	—	$595 – $776
15	Blue Cross Blue Shield bc aehp (mu) facility · other · outpatient	$705	$705	—	—	—	$705 – $705
16	Bcbs Mn bc state health plan (mu) facility · other · outpatient	$720	$720	—	—	—	$720 – $720
17	Bcbs Mn bc high value/performance network (mu) facility · other · outpatient	$757	$757	—	—	—	$757 – $757
18	Aetna aetna direct network (amu) facility · percent of total billed charges · outpatientfrom % of charges	$843	$843	$112	13%	—	$732 – $955
19	Bcbs Mn bc aware/blue plus (a m u) facility · percent of total billed charges · outpatientfrom % of charges	$906	$906	$120	13%	—	$786 – $1.0k
20	Medica medica ubh (m) facility · percent of total billed charges · inpatientfrom % of charges	$1.1k	$1.1k	$143	13%	—	$937 – $1.2k
21	Medica medica elect (u m) facility · percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	$147	13%	—	$960 – $1.3k
22	Medica medica essentials (u m) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$153	13%	—	$1.0k – $1.3k
23	Medica medica mhps (u m) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$153	13%	—	$1.0k – $1.3k
24	Medica medica choice (u m) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$161	13%	—	$1.1k – $1.4k
25	Medica medica ubh pmap (m) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	$164	13%	—	$1.1k – $1.4k

Page 1 of 2 · 28 rates

Last updated: Jun 17, 2026

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