Esmolol IV infusion bag at BSA Hospital

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

ESMOLOL 2,500 MG/250 ML (10 MG/ML) IN SODIUM CHLORIDE (ISO-OSMOTIC) IV

Amarillo, TX

See all hospitals reporting HCPCS J1805 →

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Pricing by billing methodology

Price type

How this price compares nationally

BSA Hospital’s median price of $147 is 1257% above the median hospital's median price ($11), higher than 83% of the 2,006 hospitals reporting HCPCS J1805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1805 at BSA Hospital

Negotiated rates from the hospital’s own file: 10 payers, 24 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 bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges	$78	$78	$69	88%	—	$9 – $147
2	Blue Cross Blue Shield bcbs tx medicaid chip [116506] facility · percent of total billed charges · bothfrom % of charges	$78	$78	$69	88%	—	$9 – $147
3	Aetna aetna better health [351001] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
4	Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
5	Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
6	Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
7	Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
8	UnitedHealthcare uhc comm mcaid health pla [225001] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
9	UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges	$325	$325	$286	88%	—	$39 – $611
10	UnitedHealthcare united healthcare core exclusive [206022] facility · percent of total billed charges · bothfrom % of charges	$357	$357	$314	88%	—	$43 – $671
11	UnitedHealthcare uhc surest bind [206032] facility · percent of total billed charges · bothfrom % of charges	$511	$511	$450	88%	—	$61 – $961
12	UnitedHealthcare united healthcare student svc [206012] facility · percent of total billed charges · bothfrom % of charges	$511	$511	$450	88%	—	$61 – $961
13	Aetna aetna client specific [101506] facility · percent of total billed charges · bothfrom % of charges	$542	$542	$477	88%	15	$65 – $1.0k
14	Medica medica harmony [291000] facility · percent of total billed charges · bothfrom % of charges	$584	$584	$514	88%	—	$70 – $1.1k
15	Phcs freedom life [178009] facility · percent of total billed charges · bothfrom % of charges	$584	$584	$514	88%	—	$70 – $1.1k
16	Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges	$584	$584	$514	88%	—	$70 – $1.1k
17	Cigna cigna [126008] facility · percent of total billed charges · bothfrom % of charges	$605	$605	$533	88%	14	$73 – $1.1k
18	Healthpartners healthpartners [150000] facility · percent of total billed charges · bothfrom % of charges	$605	$605	$533	88%	—	$73 – $1.1k
19	UnitedHealthcare united healthcare shared svcs [206010] facility · percent of total billed charges · bothfrom % of charges	$606	$606	$533	88%	—	$73 – $1.1k
20	Aetna american continental [101507] facility · percent of total billed charges · bothfrom % of charges	$625	$625	$550	88%	—	$75 – $1.2k
21	Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges	$625	$625	$550	88%	—	$75 – $1.2k
22	Kaiser kaiser permanete oakland ca [156000] facility · percent of total billed charges · bothfrom % of charges	$709	$709	$624	88%	—	$85 – $1.3k
23	MultiPlan international benefits administrators [168005] facility · percent of total billed charges · bothfrom % of charges	$709	$709	$624	88%	—	$85 – $1.3k
24	Cigna cigna pantex [126003] facility · percent of total billed charges · bothfrom % of charges	$737	$737	—	—	—	$737 – $737

Last updated: Feb 12, 2026

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