Injection of edaravone, per milligram at Carmel AmbSurg

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

EDARAVONE 30MG/100ML PM

Carmel, IN

See all hospitals reporting HCPCS J1301 →

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Pricing by billing methodology

Price type

How this price compares nationally

Carmel AmbSurg’s median price of $22 is 11% below the median hospital's median price ($24), higher than 33% of the 1,362 hospitals reporting HCPCS J1301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1301 at Carmel AmbSurg

Negotiated rates from the hospital’s own file: 7 payers, 27 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	Anthem 7373_anthem medicaid replacement outpatient 20230101 fee schedule · outpatient	$21	$21	—	—	—	$21 – $21
2	UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 fee schedule · both	$22	$22	—	—	—	$22 – $22
3	UnitedHealthcare 9470_united healthcare vein 20250101 fee schedule · both	$22	$22	—	—	—	$22 – $22
4	Anthem 9399_anthem healthsync hmo vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
5	Anthem 9401_anthem healthsync pos vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
6	Anthem 9403_anthem hmo pos vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
7	Anthem 9404_anthem pathway vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
8	Anthem 9405_anthem pathway x vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
9	Anthem 9406_anthem preferred vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
10	Anthem 9407_anthem short term limited duration vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
11	Anthem 9408_anthem traditional vein 20250101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
12	Anthem 8255_anthem connect medicaid replacement outpatient 20240101 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
13	Anthem 8879_anthem connect medicaid replacement asc outpatient 20240401 fee schedule · outpatient	$22	$22	—	—	—	$22 – $22
14	Aetna 8946_aetna medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
15	Aetna 8955_aetna choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
16	Ambetter 9036_mhs cenpatico ambetter medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
17	Anthem 8964_anthem medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
18	Caresource 8973_caresource hmo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
19	Caresource 9054_caresource marketplace medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
20	Humana 8982_humana ppo medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
21	Humana 8991_humana choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
22	Humana 9000_humana gold choice medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
23	UnitedHealthcare 9009_united healthcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
24	WellCare 9018_wellcare medicare replacement asc outpatient asin, ecin, nrin 20241001 fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
25	UnitedHealthcare 6790_united healthcare new business outpatient asin 20230101 fee schedule · outpatient	$36	$36	—	—	—	$36 – $36

Page 1 of 2 · 27 rates

Last updated: Jan 1, 2026

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