Dexrazoxane injection, per 250 mg at Ascension Seton

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

Original text from hospital filings

DEXRAZOXANE PER 250MG-5G

Austin, TX

See all hospitals reporting HCPCS J1190 →

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How this price compares nationally

Ascension Seton’s median price of $146 is 5% below the median hospital's median price ($154), higher than 49% of the 1,820 hospitals reporting HCPCS J1190. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1190 at Ascension Seton

Negotiated rates from the hospital’s own file: 4 payers, 22 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 4498_united healthcare (aus,nw,sw, bas) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
2	UnitedHealthcare 4499_united healthcare (del) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
3	UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
4	UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
5	UnitedHealthcare 4502_united healthcare nexus city hmo (del) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
6	UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
7	UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient	$114	$114	—	—	—	$114 – $114
8	UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
9	UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
10	UnitedHealthcare 4508_united healthcare standard nexus aco (del) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
11	UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient	$114	$114	—	—	—	$114 – $114
12	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$146	$146	—	—	—	$146 – $146
13	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$301	$301	—	—	—	$301 – $301
14	Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient	$314	$314	—	—	—	$314 – $314
15	Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient	$321	$321	—	—	—	$321 – $321
16	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient	$353	$353	—	—	—	$353 – $353
17	Aetna 4486_aetna hmo 20250801 fee schedule · outpatient	$392	$392	—	—	—	$392 – $392
18	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$637	$637	—	—	—	$637 – $637
19	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$652	$652	—	—	—	$652 – $652
20	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$652	$652	—	—	—	$652 – $652
21	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$722	$722	—	—	—	$722 – $722
22	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$794	$794	—	—	—	$794 – $794

Last updated: Jan 1, 2026

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