Follitropin alfa injection, 75 IU at Shannon River Crest 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.

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

Inj follitropin alfa 75 iu

San Angelo, TX

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How this price compares nationally

Shannon River Crest Hospital’s median price of $294 is 7% above the median hospital's median price ($275), higher than 55% of the 769 hospitals reporting HCPCS S0126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS S0126 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 1 payer, 3 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	Bcbs Tx hmo facility · fee schedule · outpatient	$280	$280	—	—	—	$280 – $280
2	Bcbs Tx bav facility · fee schedule · outpatient	$294	$294	—	—	—	$294 – $294
3	Bcbs Tx ppo facility · fee schedule · outpatient	$294	$294	—	—	—	$294 – $294

Last updated: Dec 8, 2025

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