Dipyridamole injection, per 10 mg at Central Georgia Rehabilitation LLC

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-sonnet-5-5
Provider: anthropic
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Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION

Macon, GA

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How this price compares nationally

Central Georgia Rehabilitation LLC’s median price of $153 is 1639% above the median hospital's median price ($9), higher than 95% of the 1,410 hospitals reporting HCPCS J1245. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1245 at Central Georgia Rehabilitation LLC

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Kaiser commercial fee schedule · both	$3	$3	—	—	—	$3 – $3
2	Cigna commercial fee schedule · both	$4	$4	—	—	—	$4 – $4
3	Anthem hmo/ppo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
4	Humana hmo/pos fee schedule · both	$6	$6	—	—	—	$6 – $6
5	Humana ppo fee schedule · both	$6	$6	—	—	—	$6 – $6
6	Aetna hmo fee schedule · both	$20	$20	—	—	—	$20 – $20
7	Aetna pos fee schedule · both	$20	$20	—	—	—	$20 – $20
8	Aetna ppo fee schedule · both	$20	$20	—	—	—	$20 – $20
9	UnitedHealthcare commercial fee schedule · both	$36	$36	—	—	—	$36 – $36
10	Ambetter managed medicaid percent of total billed charges · outpatientfrom % of charges	$74	$74	—	—	—	$74 – $74
11	Ambetter managed medicaid percent of total billed charges · inpatientfrom % of charges	$126	$126	—	—	—	$126 – $126
12	Humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$145	$145	—	—	—	$145 – $145
13	Aetna hmo percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
14	Aetna pos percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
15	Kaiser commercial percent of total billed charges · inpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
16	Kaiser commercial percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
17	MultiPlan pho agreement primary network percent of total billed charges · inpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
18	MultiPlan pho agreement primary network percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	—	$160 – $160
19	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
20	Humana ppo percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
21	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$170	$170	—	—	—	$170 – $170
22	MultiPlan pho agreement complimentary network percent of total billed charges · inpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
23	MultiPlan pho agreement complimentary network percent of total billed charges · outpatientfrom % of charges	$197	$197	—	—	—	$197 – $197
24	Beechstreet commercial percent of total billed charges · inpatientfrom % of charges	$229	$229	—	—	—	$229 – $229
25	Beechstreet commercial percent of total billed charges · outpatientfrom % of charges	$229	$229	—	—	—	$229 – $229

Last updated: Nov 19, 2025

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