Hydroxychloroquine 200 mg oral tablet at Benefis Hospitals Inc

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

ACETAMINOPHEN 10 MG/ML IV SOLN 500 MG

Falls, MT

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How this price compares nationally

Benefis Hospitals Inc’s median price of $14 is 21% below the median hospital's median price ($18), higher than 46% of the 990 hospitals reporting HCPCS J8499. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J8499 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 8 payers, 15 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 bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$13	$13	$9	70%	—	$4 – $23
2	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · outpatientfrom % of charges	$14	$14	$10	70%	—	$4 – $24
3	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · bothfrom % of charges	$15	$15	$11	70%	—	$5 – $26
4	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$17	$17	$12	70%	—	$5 – $28
5	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$17	$17	$12	70%	—	$5 – $29
6	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$18	$18	$12	70%	—	$5 – $30
7	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$18	$18	$12	70%	—	$5 – $30
8	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$18	$18	$12	70%	—	$5 – $30
9	Cigna bhs hb allegiance percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
10	Healthpartners bhs hb allegiance percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
11	Kaiser bhs hb allegiance percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
12	Medical Mutual bhs hb allegiance percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
13	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
14	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$19	$19	$13	70%	—	$6 – $32
15	UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges	$20	$20	$14	70%	—	$6 – $33

Last updated: Mar 26, 2026

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