Dipyridamole injection, per 10 mg at Commonspirit Kansas, 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-sonnet-5-5
Provider: anthropic
API: message_batches
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

Ulysses, KS

See all hospitals reporting HCPCS J1245 →

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How this price compares nationally

Commonspirit Kansas, Inc.’s median price of $86 is 872% above the median hospital's median price ($9), higher than 88% 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 Commonspirit Kansas, Inc.

Negotiated rates from the hospital’s own file: 6 payers, 13 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	Bcbs Ks commercial ppo/hmo fee schedule · outpatient	$5	$5	—	—	—	$5 – $5
2	Aetna managed medicare percent of total billed charges · outpatientfrom % of charges	$62	$62	$33	53%	—	$29 – $95
3	Humana managed medicare percent of total billed charges · outpatientfrom % of charges	$62	$62	$33	53%	—	$29 – $95
4	Medicare medicare percent of total billed charges · outpatientfrom % of charges	$62	$62	$33	53%	—	$29 – $95
5	UnitedHealthcare managed medicare percent of total billed charges · outpatientfrom % of charges	$62	$62	$33	53%	—	$29 – $95
6	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$155	$155	$83	53%	—	$72 – $238
7	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$155	$155	$83	53%	—	$72 – $238
8	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · inpatientfrom % of charges	$161	$161	$86	53%	—	$75 – $248
9	UnitedHealthcare commercial ppo/pos/hmo/epo percent of total billed charges · outpatientfrom % of charges	$161	$161	$86	53%	—	$75 – $248
10	MultiPlan commercial primary percent of total billed charges · inpatientfrom % of charges	$174	$174	$93	53%	—	$81 – $267
11	MultiPlan commercial primary percent of total billed charges · outpatientfrom % of charges	$174	$174	$93	53%	—	$81 – $267
12	MultiPlan commercial complementary percent of total billed charges · inpatientfrom % of charges	$180	$180	$96	53%	—	$84 – $276
13	MultiPlan commercial complementary percent of total billed charges · outpatientfrom % of charges	$180	$180	$96	53%	—	$84 – $276

Last updated: Feb 3, 2026

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