Dipyridamole injection, per 10 mg 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIPYRIDAMOLE 5 MG/ML INTRAVENOUS SOLUTION

Perryville, MO

See all hospitals reporting HCPCS J1245 →

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How this price compares nationally

Mercy Perry’s median price of $57 is 547% above the median hospital's median price ($9), higher than 83% of the 1,402 hospitals reporting HCPCS J1245. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1245 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	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
5	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
6	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
7	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
8	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
9	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
10	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$28	$28	—	—	—	$28 – $28
11	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
12	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
13	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
14	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
15	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
16	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
17	Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
18	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
19	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
20	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$60	$60	—	—	—	$60 – $60
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$64	$64	—	—	—	$64 – $64

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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