APC 00767
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.
Original text from hospital filings
Inj, nogapendekin pmln 1
Low
$92
Average
$98
Median
$95
High
$117
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 1.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 81 | $92 | $91 | $3 | 4% | — | $71 – $95 |
| 2 | Caresource fee schedule · outpatient | 15 | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Carefirst facility · fee schedule · outpatient | 3 | $95 | $95 | — | — | — | $95 – $95 |
| 5 | Tricare facility · fee schedule · outpatient | 3 | $95 | $95 | — | — | — | $95 – $95 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient | 3 | $95 | $117 | $65 | 56% | — | $95 – $313 |
| 7 | Aetna facility · fee schedule · outpatient | 2 | $98 | $98 | — | — | — | $98 – $98 |
| 8 | Kaiser facility · fee schedule · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
← Hospitals reporting APC 00767 · Snapshot 20261111T120946Z-9134e7f7