Aminophylline 500 mg 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

AMINOPHYLLINE 250 MG/10 ML INTRAVENOUS SOLUTION

Perryville, MO

See all hospitals reporting HCPCS J0280 →

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How this price compares nationally

Mercy Perry’s median price of $63 is 198% above the median hospital's median price ($21), higher than 84% of the 2,130 hospitals reporting HCPCS J0280. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0280 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	$14	$14	—	—	—	$14 – $14
2	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
3	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$15	$15	—	—	—	$15 – $15
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
6	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$31	$31	—	—	—	$31 – $31
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$32	$32	—	—	—	$32 – $32
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$43	$43	—	—	—	$43 – $43
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$48	$48	—	—	—	$48 – $48
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	$49	$49	—	—	—	$49 – $49
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$63	$63	—	—	—	$63 – $63
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$72	$72	—	—	—	$72 – $72

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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