Bleomycin sulfate injection, 15 units 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BLEOMYCIN SULFATE 30 UNITS IJ SOLR|DISCARDED DRUG NOT ADMINISTERED

Falls, MT

See all hospitals reporting HCPCS J9040 →

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How this price compares nationally

Benefis Hospitals Inc’s median price of $331 is 392% above the median hospital's median price ($67), higher than 89% of the 1,899 hospitals reporting HCPCS J9040. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J9040 at Benefis Hospitals Inc

Negotiated rates from the hospital’s own file: 8 payers, 20 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 employee health plan fee schedule · outpatient	$43	$36	$10	28%	—	$21 – $43
2	Blue Cross Blue Shield bhs hb bcbs blue options fee schedule · outpatient	$57	$48	$13	28%	—	$29 – $57
3	Cigna bhs hb allegiance fee schedule · outpatient	$63	$52	$15	28%	—	$31 – $63
4	Healthpartners bhs hb allegiance fee schedule · outpatient	$63	$52	$15	28%	—	$31 – $63
5	Kaiser bhs hb allegiance fee schedule · outpatient	$63	$52	$15	28%	—	$31 – $63
6	Medical Mutual bhs hb allegiance fee schedule · outpatient	$63	$52	$15	28%	—	$31 – $63
7	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · outpatientfrom % of charges	$295	$221	$158	72%	—	$1 – $368
8	Blue Cross Blue Shield bhs hb bcbs employee health plan percent of total billed charges · inpatientfrom % of charges	$341	$256	$183	72%	—	$2 – $425
9	Blue Cross Blue Shield bhs hb bcbs blue focus percent of total billed charges · inpatientfrom % of charges	$363	$273	$195	72%	—	$2 – $453
10	Blue Cross Blue Shield bhs hb bcbs blue options percent of total billed charges · inpatientfrom % of charges	$370	$277	$198	72%	—	$2 – $461
11	Blue Cross Blue Shield bhs hb bcbs federal percent of total billed charges · bothfrom % of charges	$386	$290	$207	72%	—	$2 – $481
12	Blue Cross Blue Shield bhs hb bcbs healthy montana kids percent of total billed charges · bothfrom % of charges	$386	$290	$207	72%	—	$2 – $481
13	Blue Cross Blue Shield bhs hb bcbs healthlink ppo percent of total billed charges · bothfrom % of charges	$390	$293	$210	72%	—	$2 – $487
14	Cigna bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$409	$307	$219	72%	—	$2 – $509
15	Healthpartners bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$409	$307	$219	72%	—	$2 – $509
16	Kaiser bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$409	$307	$219	72%	—	$2 – $509
17	Medical Mutual bhs hb allegiance percent of total billed charges · inpatientfrom % of charges	$409	$307	$219	72%	—	$2 – $509
18	Aetna bhs hb first choice health percent of total billed charges · bothfrom % of charges	$418	$313	$224	72%	—	$2 – $521
19	First Health bhs hb first choice health percent of total billed charges · bothfrom % of charges	$418	$313	$224	72%	—	$2 – $521
20	UnitedHealthcare bhs hb united healthcare percent of total billed charges · bothfrom % of charges	$431	$324	$232	72%	—	$2 – $538

Last updated: Mar 26, 2026

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