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.
Original text from hospital filings
DALTEPARIN (PORCINE) 2,500 ANTI-XA UNIT/0.2 ML SUBCUTANEOUS SYRG [8557]
Arlington, TX
See all hospitals reporting HCPCS J1645 →Price type
AMH Cath Labs LLC’s median price of $96 is 230% above the median hospital's median price ($29), higher than 82% of the 1,202 hospitals reporting HCPCS J1645. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $17 | $29 | $24 | 84% | — | $10 – $70 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $17 | $29 | $24 | 84% | — | $10 – $70 |
| 3 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $18 | $30 | $25 | 84% | — | $10 – $73 |
| 4 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $19 | $31 | $26 | 84% | — | $10 – $75 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $19 | $31 | $26 | 84% | — | $11 – $77 |
| 6 | Blue Cross Blue Shield hmo fee schedule · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | Blue Cross Blue Shield exchange fee schedule · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 8 | Blue Cross Blue Shield ppo fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Aetna whole health percent of total billed charges · inpatientfrom % of charges | $68 | $111 | $94 | 84% | — | $38 – $271 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $80 | $132 | $111 | 84% | — | $45 – $321 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $90 | $148 | $125 | 84% | — | $50 – $361 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $101 | $166 | $140 | 84% | — | $56 – $405 |
| 13 | Blue Cross Blue Shield traditional fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 14 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $107 | $176 | $148 | 84% | — | $60 – $428 |
| 15 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $107 | $176 | $148 | 84% | — | $60 – $429 |
| 16 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $108 | $177 | $150 | 84% | — | $60 – $433 |
| 17 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $136 | $223 | $188 | 84% | — | $76 – $544 |
| 18 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $137 | $224 | $189 | 84% | — | $76 – $545 |
| 19 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $137 | $225 | $190 | 84% | — | $76 – $549 |
| 20 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $137 | $225 | $190 | 84% | — | $76 – $549 |
| 21 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $146 | $239 | $201 | 84% | — | $81 – $583 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $170 | $279 | $235 | 84% | — | $95 – $681 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $170 | $279 | $235 | 84% | — | $95 – $681 |
| 24 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $184 | $302 | $254 | 84% | — | $102 – $736 |
| 25 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $184 | $302 | $254 | 84% | — | $102 – $736 |
Last updated: Apr 21, 2026
See Injection of dalteparin sodium, per 2,500 IU pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.