Acetazolamide sodium injection 500 mg at The Methodist Hospitals, Inc.

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

ACETAZOLAMIDE SODIUM 500 MG IJ SOLR [39772]

Gary, IN

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How this price compares nationally

The Methodist Hospitals, Inc.’s median price of $0 is 100% below the median hospital's median price ($59), higher than 0% of the 2,121 hospitals reporting HCPCS J1120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS J1120 at The Methodist Hospitals, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 22 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	Aetna hmo_and_ppo_contracted_plans facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
2	Aetna medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
3	Ambetter ambetter healthplan facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
4	Anthem indiana hmo medicaid facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
5	Anthem individual on exchange facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
6	Anthem medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
7	Anthem pathway essentials facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
8	Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
9	Caresource caresource facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
10	Caresource indiana hmo medicaid facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
11	Humana indiana hmo medicaid facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
12	Humana medicare advantage facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
13	Medicare medicare facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
14	UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient	$0	$0	—	—	—	$0 – $0
15	UnitedHealthcare hmo_and_ppo_contracted_plans facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
16	UnitedHealthcare navigate and core payer facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
17	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$117	$115	$12	10%	—	$97 – $129
18	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$127	$125	$13	10%	—	$105 – $140
19	Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges	$190	$187	$19	10%	—	$157 – $210
20	Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges	$208	$204	$21	10%	—	$172 – $229
21	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$223	$219	$22	10%	—	$184 – $246
22	Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges	$226	$222	$22	10%	—	$187 – $249

Last updated: Aug 18, 2026

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