Dihydroergotamine injection, 1 mg 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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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DIHYDROERGOTAMINE 1 MG/ML INJECTION SOLUTION

Troy, NY

See all hospitals reporting HCPCS J1110 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $101 is 25% below the median hospital's median price ($135), higher than 35% of the 1,924 hospitals reporting HCPCS J1110. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1110 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	$34	$34	—	—	—	$34 – $34
2	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
3	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
4	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
5	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
6	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
7	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
8	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
9	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
10	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
11	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
12	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
13	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
14	UnitedHealthcare uhc essential plan medicaid facility · fee schedule · both	$114	$114	—	—	—	$114 – $114
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$142	$142	$41	29%	—	$101 – $183
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$146	$146	—	—	—	$146 – $146
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$156	$156	—	—	—	$156 – $156
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$165	$165	—	—	—	$165 – $165
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$183	$183	—	—	—	$183 – $183

Last updated: Mar 31, 2026

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