Esmolol IV infusion bag 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.

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Provider: anthropic
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

ESMOLOL 100 MG/10 ML (10 MG/ML) INTRAVENOUS SOLUTION

Perryville, MO

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How this price compares nationally

Mercy Perry’s median price of $43 is 299% above the median hospital's median price ($11), higher than 64% of the 2,006 hospitals reporting HCPCS J1805. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1805 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	$36	$36	$34	94%	—	$2 – $70
2	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$36	$36	$34	94%	—	$2 – $70
3	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$36	$36	$34	94%	—	$2 – $70
4	Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges	$54	$54	$51	95%	—	$2 – $105
5	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	$68	95%	—	$3 – $140
6	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	$68	95%	—	$3 – $140
7	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$71	$71	$68	95%	—	$3 – $140
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	1–10	$5 – $212
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	—	$5 – $212
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	—	$5 – $212
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	114	$5 – $212
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	—	$5 – $212
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$109	$109	$104	95%	—	$5 – $212
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	$106	95%	44	$5 – $216
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	$108	95%	1–10	$5 – $221
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$113	$113	$108	95%	—	$5 – $221
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	$123	95%	1–10	$6 – $253
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$150	$150	$143	95%	—	$7 – $293
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$169	$169	$161	95%	—	$8 – $331
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	$170	$170	$162	95%	—	$8 – $331
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	$211	95%	—	$10 – $432
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$221	$221	$211	95%	—	$10 – $432
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$234	$234	$223	95%	1–10	$11 – $457
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$234	$234	$223	95%	—	$11 – $457
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$250	$250	$238	95%	—	$11 – $488

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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