Acetylcysteine injection at Mercy Perry

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

ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION

Perryville, MO

See all payers reporting HCPCS J0132 →

Payers reporting HCPCS J0132 at Mercy Perry

Negotiated rates from the hospital’s own file: 16 payers, 29 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	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
2	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
3	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
6	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	—	$50 – $50
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$77	$77	—	—	—	$77 – $77
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$78	$78	—	—	—	$78 – $78
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$104	$104	—	—	—	$104 – $104
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
20	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$154	$154	—	—	—	$154 – $154
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	—	$173 – $173

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