Fondaparinux 2.5 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

FONDAPARINUX 2.5 MG/0.5 ML SUBCUTANEOUS SOLUTION SYRINGE

Perryville, MO

See all hospitals reporting HCPCS J1652 →

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How this price compares nationally

Mercy Perry’s median price of $67 is 125% above the median hospital's median price ($30), higher than 63% of the 2,001 hospitals reporting HCPCS J1652. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1652 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	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
3	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$6	$6	—	—	—	$6 – $6
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
6	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$34	$34	—	—	—	$34 – $34
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$45	$45	—	—	—	$45 – $45
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	—	—	—	$51 – $51
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	$51	$51	—	—	—	$51 – $51
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$70	$70	—	—	—	$70 – $70
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$75	$75	—	—	—	$75 – $75

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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