Epoetin alfa injection for non-dialysis patients at Good Samaritan 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

EPOETIN ALFA 20,000 UNIT/ML INJECTION SOLUTION

Lebanon, PA

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How this price compares nationally

Good Samaritan Hospital’s median price of $180 is 770% above the median hospital's median price ($21), higher than 74% of the 2,057 hospitals reporting HCPCS J0885. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0885 at Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 7 payers, 16 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 capital_blue_performance_ppo fee schedule · outpatient	$9.27	$9.27	$9.27 – $9.27
2	Blue Cross Blue Shield all_plans fee schedule · outpatient	$90.48	$90.48	$10.08 – $170.88
3	Blue Cross Blue Shield capital_cares_4_kids fee schedule · outpatient	$129.78	$129.78	$129.78 – $129.78
4	Blue Cross Blue Shield capital_blue_cross_healthy_benefits_ppo fee schedule · outpatient	$148.32	$148.32	$148.32 – $148.32
5	Amerihealth Caritas all_plans fee schedule · outpatient	$170.88	$170.88	$170.88 – $170.88
6	Highmark all_plans fee schedule · outpatient	$172.59	$174.55	$170.88 – $180.19
7	Blue Cross Blue Shield all_other_plans fee schedule · outpatient	$185.40	$185.40	$185.40 – $185.40
8	Highmark higmark_healthy_kids fee schedule · outpatient	$264.86	$264.86	$264.86 – $264.86
9	Aetna all_plans fee schedule · outpatient	$176.01	$290.50	$176.01 – $519.48
10	UnitedHealthcare all_plans fee schedule · outpatient	$491.52	$491.52	$491.52 – $491.52
11	Cigna all_plans fee schedule · outpatient	$495.60	$495.60	$495.60 – $495.60
12	Highmark blue_cross_high_performance_network fee schedule · outpatient	$516.86	$516.86	$516.86 – $516.86
13	Highmark choice_blue_ppo fee schedule · outpatient	$516.86	$516.86	$516.86 – $516.86
14	Highmark performance_blue fee schedule · outpatient	$516.86	$516.86	$516.86 – $516.86
15	First Health all_plans fee schedule · outpatient	$571.42	$571.42	$571.42 – $571.42
16	Highmark all_other_plans fee schedule · outpatient	$622.74	$622.74	$622.74 – $622.74

Last updated: Jan 1, 2026

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