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.
Original text from hospital filings
THEOPH 400MG/500ML PB
Merced, CA
See all hospitals reporting HCPCS J2810 →Price type
Dignity Health’s median price of $15 is 1806% above the median hospital's median price ($1), higher than 94% of the 837 hospitals reporting HCPCS J2810. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Anthem commercial|exchange fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 2 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Anthem commercial|all other plans fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Anthem commercial|mcs fee schedule · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 6 | UnitedHealthcare commercial|all other plans fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 7 | UnitedHealthcare commercial|hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 8 | UnitedHealthcare commercial|non-options ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 9 | UnitedHealthcare commercial|options ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Aetna commercial|all other plans fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Aetna commercial|hmo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Aetna commercial|ppo fee schedule · outpatient | $2 | $2 | — | — | — | $2 – $2 |
| 13 | Anthem medicaid|< 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 14 | Anthem medicaid|> 21 fee schedule · outpatient | $15 | $15 | — | — | — | $15 – $15 |
| 15 | Cigna commercial|all other plans fee schedule · inpatient | $40 | $40 | — | — | — | $40 – $40 |
| 16 | Cigna commercial|all other plans fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 17 | Cigna commercial|ppo fee schedule · inpatient | $40 | $40 | — | — | — | $40 – $40 |
| 18 | Cigna commercial|ppo fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 19 | Kaiser commercial|all plans fee schedule · inpatient | $42 | $42 | — | — | — | $42 – $42 |
| 20 | Kaiser commercial|all plans fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 21 | First Health commercial|all plans fee schedule · inpatient | $49 | $49 | — | — | — | $49 – $49 |
| 22 | First Health commercial|all plans fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 23 | MultiPlan commercial|all plans fee schedule · inpatient | $57 | $57 | — | — | — | $57 – $57 |
| 24 | MultiPlan commercial|all plans fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
Last updated: Feb 28, 2026
See Theophylline injection, 400 mg pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.