diff --git a/litellm/llms/anthropic/chat/transformation.py b/litellm/llms/anthropic/chat/transformation.py
index 1161c92232a..d8f2f426d8a 100644
--- a/litellm/llms/anthropic/chat/transformation.py
+++ b/litellm/llms/anthropic/chat/transformation.py
@@ -1,6 +1,7 @@
 import json
 import re
 import time
+from collections.abc import Iterable, Mapping
 from typing import TYPE_CHECKING, Any, Final, NoReturn, cast
 
 import httpx
@@ -2117,6 +2118,18 @@ class AnthropicConfig(AnthropicModelInfo, BaseConfig):
             return False
         return any(key in usage_object for key in ("cache_read_input_tokens", "cache_creation_input_tokens"))
 
+    @staticmethod
+    def _aggregate_cache_creation_token_details(
+        cache_creation_objects: Iterable[Mapping[str, Any] | None],
+    ) -> CacheCreationTokenDetails | None:
+        breakdowns: Final = tuple(c for c in cache_creation_objects if isinstance(c, Mapping))
+        if not breakdowns:
+            return None
+        return CacheCreationTokenDetails(
+            ephemeral_5m_input_tokens=sum(int(c.get("ephemeral_5m_input_tokens") or 0) for c in breakdowns),
+            ephemeral_1h_input_tokens=sum(int(c.get("ephemeral_1h_input_tokens") or 0) for c in breakdowns),
+        )
+
     def calculate_usage(
         self,
         usage_object: dict,
@@ -2150,6 +2163,9 @@ class AnthropicConfig(AnthropicModelInfo, BaseConfig):
             cache_creation_input_tokens = sum(it.get("cache_creation_input_tokens", 0) or 0 for it in iterations)
             cache_read_input_tokens = sum(it.get("cache_read_input_tokens", 0) or 0 for it in iterations)
             prompt_tokens += cache_creation_input_tokens + cache_read_input_tokens
+            cache_creation_token_details = self._aggregate_cache_creation_token_details(
+                it.get("cache_creation") for it in iterations
+            )
 
         if not iterations:
             if "cache_creation_input_tokens" in _usage and _usage["cache_creation_input_tokens"] is not None:
@@ -2182,7 +2198,7 @@ class AnthropicConfig(AnthropicModelInfo, BaseConfig):
             if tool_search_count > 0:
                 tool_search_requests = tool_search_count
 
-        if "cache_creation" in _usage and _usage["cache_creation"] is not None:
+        if cache_creation_token_details is None and "cache_creation" in _usage and _usage["cache_creation"] is not None:
             cache_creation_token_details = CacheCreationTokenDetails(
                 ephemeral_5m_input_tokens=_usage["cache_creation"].get("ephemeral_5m_input_tokens"),
                 ephemeral_1h_input_tokens=_usage["cache_creation"].get("ephemeral_1h_input_tokens"),
diff --git a/tests/test_litellm/llms/anthropic/chat/test_anthropic_chat_transformation.py b/tests/test_litellm/llms/anthropic/chat/test_anthropic_chat_transformation.py
index 231d3b48754..79255d4f923 100644
--- a/tests/test_litellm/llms/anthropic/chat/test_anthropic_chat_transformation.py
+++ b/tests/test_litellm/llms/anthropic/chat/test_anthropic_chat_transformation.py
@@ -105,6 +105,58 @@ def test_calculate_usage():
     assert usage._cache_read_input_tokens == 0
 
 
+def test_calculate_usage_aggregates_cache_creation_split_across_iterations():
+    """
+    In the iterations path each iteration can carry the 5m/1h cache_creation
+    breakdown. calculate_usage must aggregate it into cache_creation_token_details
+    so 1h writes are priced at the 1h rate instead of silently falling back to 5m.
+
+    Regression for LIT-4868.
+    """
+    from litellm.llms.anthropic.cost_calculation import cost_per_token
+
+    config = AnthropicConfig()
+    usage_object = {
+        "input_tokens": 0,
+        "output_tokens": 5,
+        "iterations": [
+            {
+                "type": "message",
+                "input_tokens": 0,
+                "output_tokens": 3,
+                "cache_creation_input_tokens": 10000,
+                "cache_read_input_tokens": 0,
+                "cache_creation": {"ephemeral_5m_input_tokens": 0, "ephemeral_1h_input_tokens": 10000},
+            },
+            {
+                "type": "message",
+                "input_tokens": 0,
+                "output_tokens": 2,
+                "cache_creation_input_tokens": 10000,
+                "cache_read_input_tokens": 0,
+                "cache_creation": {"ephemeral_5m_input_tokens": 0, "ephemeral_1h_input_tokens": 10000},
+            },
+        ],
+    }
+
+    usage = config.calculate_usage(usage_object=usage_object, reasoning_content=None)
+
+    details = usage.prompt_tokens_details.cache_creation_token_details
+    assert details is not None
+    assert details.ephemeral_5m_input_tokens == 0
+    assert details.ephemeral_1h_input_tokens == 20000
+    assert usage.prompt_tokens_details.cache_creation_tokens == 20000
+
+    info = litellm.get_model_info(model="claude-opus-4-8", custom_llm_provider="anthropic")
+    rate_5m = info["cache_creation_input_token_cost"]
+    rate_1h = info["cache_creation_input_token_cost_above_1hr"]
+    assert rate_1h > rate_5m
+
+    prompt_cost, _ = cost_per_token(model="claude-opus-4-8", usage=usage)
+    assert prompt_cost == pytest.approx(20000 * rate_1h)
+    assert prompt_cost != pytest.approx(20000 * rate_5m)
+
+
 def test_calculate_usage_clamps_text_tokens_when_reasoning_estimate_exceeds_output():
     config = AnthropicConfig()