Arsenic trioxide injection, per 1 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ARSENIC TRIOXIDE 2MG/ML INJ

Kyle, TX

See all hospitals reporting HCPCS J9017 →

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Pricing by billing methodology

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How this price compares nationally

Ascension Seton’s median price of $29 is 14% above the median hospital's median price ($26), higher than 52% of the 1,760 hospitals reporting HCPCS J9017. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9017 at Ascension Seton

Negotiated rates from the hospital’s own file: 4 payers, 19 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	$13	$13	—	—	—	$13 – $13
2	UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
3	UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
4	UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
5	UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 other · outpatient	$13	$13	—	—	—	$13 – $13
6	UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
7	UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
8	UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 other · outpatient	$13	$13	—	—	—	$13 – $13
9	Aetna 4335_aetna sha aisd 20250101 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
10	Aetna 4489_aetna aco hmo 20250801 fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
11	Aetna 4490_aetna multi-tier whole health sha 20250801 fee schedule · outpatient	$32	$32	—	—	—	$32 – $32
12	Aetna 4486_aetna hmo 20250801 fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
13	Tricare 1229_tricare cah outpatient 20170101 fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
14	Aetna 1377_aetna hmo exchange 20200101 fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
15	Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient	$138	$138	—	—	—	$138 – $138
16	Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
17	Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 fee schedule · outpatient	$141	$141	—	—	—	$141 – $141
18	Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
19	Blue Cross Blue Shield 4094_blue cross blue shield ppo 20250101 fee schedule · outpatient	$172	$172	—	—	—	$172 – $172

Last updated: Jan 1, 2026

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