Cilastatin and imipenem 500 mg injection at Winter Haven 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

CILASTATIN-IMIPNEM 250MG INJ A

Haven, FL

See all payers reporting HCPCS J0743 →

Payers reporting HCPCS J0743 at Winter Haven Hospital

Negotiated rates from the hospital’s own file: 8 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.

Filter by billing methodology

Filter by billing class

#
1	Molina medicare hmo facility · percent of total billed charges · outpatientfrom % of charges	$17	$17	$1	8%	—	$15 – $19
2	Blue Cross Blue Shield commercial hmo my blue facility · percent of total billed charges · outpatientfrom % of charges	$30	$30	$2	8%	—	$27 – $34
3	Blue Cross Blue Shield commercial hmo simply blue facility · percent of total billed charges · outpatientfrom % of charges	$40	$40	$3	8%	—	$36 – $44
4	Blue Cross Blue Shield commercial ppo blue select facility · percent of total billed charges · outpatientfrom % of charges	$41	$41	$3	8%	—	$37 – $45
5	Aetna commercial other facility · percent of total billed charges · outpatientfrom % of charges	$44	$44	$4	8%	—	$40 – $49
6	Aetna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$46	$46	$4	8%	—	$42 – $51
7	Blue Cross Blue Shield commercial hmo health options facility · percent of total billed charges · outpatientfrom % of charges	$48	$49	$4	8%	—	$44 – $54
8	Cigna commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	$4	8%	—	$45 – $55
9	UnitedHealthcare commercial hmo facility · percent of total billed charges · outpatientfrom % of charges	$50	$51	$4	8%	—	$46 – $56
10	Blue Cross Blue Shield commercial ppo network blue facility · percent of total billed charges · outpatientfrom % of charges	$51	$51	$4	8%	—	$46 – $56
11	Molina commercial other facility · percent of total billed charges · inpatientfrom % of charges	$53	$54	$4	8%	—	$48 – $59
12	Blue Cross Blue Shield commercial ppo phs facility · percent of total billed charges · outpatientfrom % of charges	$55	$55	$4	8%	—	$50 – $60
13	Molina commercial other facility · percent of total billed charges · outpatientfrom % of charges	$56	$56	$5	8%	—	$51 – $62
14	UnitedHealthcare commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$74	$75	$6	8%	—	$67 – $82
15	UnitedHealthcare commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$74	$75	$6	8%	—	$67 – $82
16	MultiPlan commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$76	$76	$6	8%	—	$69 – $84
17	MultiPlan commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$76	$76	$6	8%	—	$69 – $84
18	Aetna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$77	$78	$6	8%	—	$70 – $86
19	Aetna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$77	$78	$6	8%	—	$70 – $86
20	First Health commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$81	$81	$7	8%	—	$73 – $89
21	First Health commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$81	$81	$7	8%	—	$73 – $89
22	Cigna commercial ppo facility · percent of total billed charges · inpatientfrom % of charges	$82	$83	$7	8%	—	$75 – $91
23	Cigna commercial ppo facility · percent of total billed charges · outpatientfrom % of charges	$82	$83	$7	8%	—	$75 – $91
24	UnitedHealthcare indemnity facility · percent of total billed charges · inpatientfrom % of charges	$85	$86	$7	8%	—	$77 – $94
25	UnitedHealthcare indemnity facility · percent of total billed charges · outpatientfrom % of charges	$85	$86	$7	8%	—	$77 – $94

Page 1 of 2 · 29 rates