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
Pentamidine isethionate, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per 300 mg
Plano, TX
Negotiated rates from the hospital’s own file: 4 payers, 18 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 | Humana tricare fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 2 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 3 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 4 | UnitedHealthcare smallgroup fee schedule · outpatient | $271 | $271 | — | — | — | $271 – $271 |
| 5 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 6 | Cigna localplus fee schedule · outpatient | $498 | $498 | — | — | — | $498 – $498 |
| 7 | Cigna newbusiness fee schedule · outpatient | $499 | $499 | — | — | — | $499 – $499 |
| 8 | Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 9 | Blue Cross Blue Shield mybluehealth fee schedule · outpatient | $518 | $518 | — | — | — | $518 – $518 |
| 10 | Cigna hmo fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 11 | Cigna networkbenefit fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 12 | Cigna openaccessplus fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 13 | Cigna allother fee schedule · outpatient | $704 | $704 | — | — | — | $704 – $704 |
| 14 | Blue Cross Blue Shield blueessentials fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 15 | Blue Cross Blue Shield blueessentialsaccess fee schedule · outpatient | $759 | $759 | — | — | — | $759 – $759 |
| 16 | Blue Cross Blue Shield eposoa fee schedule · outpatient | $796 | $796 | — | — | — | $796 – $796 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $834 | $834 | — | — | — | $834 – $834 |
| 18 | Humana comm fee schedule · outpatient | $869 | $869 | — | — | — | $869 – $869 |