Aminophylline 500 mg injection at Samaritan Hospital

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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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

AMINOPHYLLINE 25 MG/ML INTRAVENOUS SOLUTION (WRAPPER)

Troy, NY

See all hospitals reporting HCPCS J0280 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $22 is about the same as the median hospital's median price ($21), higher than 50% of the 2,145 hospitals reporting HCPCS J0280. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J0280 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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	UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · both	$9	$9	—	—	—	$9 – $9
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
6	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
7	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
8	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
9	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
10	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
11	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
12	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
13	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$22	$22	—	—	—	$22 – $22
14	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$30	$30	$9	29%	—	$22 – $39
15	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$31	$31	—	—	—	$31 – $31
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$31	$31	—	—	—	$31 – $31
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$33	$33	—	—	—	$33 – $33
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$35	$35	—	—	—	$35 – $35
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$35	$35	—	—	—	$35 – $35
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$35	$35	—	—	—	$35 – $35
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$39	$39	—	—	—	$39 – $39

Last updated: Mar 31, 2026

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