Acetazolamide sodium injection 500 mg at AMH Cath Labs LLC

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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ACETAZOLAMIDE SODIUM 500 MG INJECTION SOLR [12287]

Arlington, TX

See all hospitals reporting HCPCS J1120 →

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How this price compares nationally

AMH Cath Labs LLC’s median price of $42 is 29% below the median hospital's median price ($59), higher than 35% of the 2,121 hospitals reporting HCPCS J1120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1120 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 8 payers, 25 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$6	$6	—	—	—	$6 – $6
6	Aetna whole health percent of total billed charges · inpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
7	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$27	$27	—	—	—	$27 – $27
8	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
9	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
10	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
11	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
12	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
13	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
14	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
15	Aetna asa percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
16	Aetna coventry percent of total billed charges · outpatientfrom % of charges	$46	$46	—	—	—	$46 – $46
17	Phcs ppo percent of total billed charges · inpatientfrom % of charges	$49	$49	—	—	—	$49 – $49
18	Blue Cross Blue Shield hmo fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
19	Blue Cross Blue Shield exchange fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
20	Blue Cross Blue Shield ppo fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
21	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
22	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
23	Cigna indemnity percent of total billed charges · inpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
24	Cigna indemnity percent of total billed charges · outpatientfrom % of charges	$62	$62	—	—	—	$62 – $62
25	Blue Cross Blue Shield traditional fee schedule · outpatient	$234	$234	—	—	—	$234 – $234

Last updated: Apr 21, 2026

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