Trimethobenzamide 200 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-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

TRIMETHOBENZAMIDE 100 MG/ML INTRAMUSCULAR SOLUTION

Perryville, MO

See all hospitals reporting HCPCS J3250 →

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How this price compares nationally

Mercy Perry’s median price of $191 is 131% above the median hospital's median price ($83), higher than 87% of the 1,522 hospitals reporting HCPCS J3250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J3250 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	$46	$46	—	—	—	$46 – $46
2	Blue Cross Blue Shield hb pcmh missouri care health plan/healthy blue facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
3	Medicaid hb pcmh mo medicaid facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
4	UnitedHealthcare hb pcmh uhc managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$61	$61	—	—	—	$61 – $61
5	Optum hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
6	UnitedHealthcare hb pcmh uhc all payer exchange facility · fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
7	UnitedHealthcare hb pcmh uhc core facility · fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
8	Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
9	Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
10	Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
11	Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
12	UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
13	WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges	$93	$93	—	—	—	$93 – $93
14	UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$95	$95	—	—	—	$95 – $95
15	Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
16	Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges	$97	$97	—	—	—	$97 – $97
17	Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges	$111	$111	—	—	—	$111 – $111
18	Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
19	Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges	$146	$146	—	—	—	$146 – $146
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	$146	$146	—	—	—	$146 – $146
21	Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	—	—	—	$191 – $191
22	Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges	$191	$191	—	—	—	$191 – $191
23	Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
24	First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges	$201	$201	—	—	—	$201 – $201
25	Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	—	—	—	$215 – $215

Page 1 of 2 · 29 rates

Last updated: Mar 12, 2026

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