APC 00864

Mitoxantrone hydrochloride chemotherapy drug

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mitoxantrone hydrochl

Payers reporting APC 00864

Payer pricing summary

Low

$31

Average

$145

Median

$160

High

$244

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$30	$114	$157	138%	—	$23 – $482
2	Caresource fee schedule · outpatient	20	$31	$169	$182	108%	—	$31 – $477
3	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	11	$31	$213	$183	86%	—	$31 – $463
4	Medicare facility · fee schedule · outpatient · +1 other terms	7	$31	$46	$34	72%	—	$31 – $119
5	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	7	$31	$64	$47	73%	—	$31 – $149
6	Aetna facility · fee schedule · outpatient · +1 other terms	6	$29	$30	$1	3%	—	$29 – $32
7	Clover fee schedule · outpatient	5	$244	$244	$181	74%	—	$31 – $463
8	Kaiser fee schedule · outpatient · +1 other terms	5	$251	$251	$186	74%	—	$32 – $477
9	WellCare fee schedule · outpatient · +1 other terms	5	$251	$251	$186	74%	—	$32 – $477
10	Amerihealth Caritas facility · fee schedule · outpatient	3	$187	$156	$87	56%	—	$31 – $255
11	Carefirst facility · fee schedule · outpatient	3	$31	$31	—	—	—	$31 – $31
12	Medica facility · fee schedule · outpatient	3	$32	$32	—	—	—	$32 – $32
13	Tricare facility · fee schedule · outpatient	3	$31	$31	—	—	—	$31 – $31
14	Ambetter facility · fee schedule · outpatient	2	$220	$220	—	—	—	$220 – $220
15	Cigna facility · fee schedule · outpatient	2	$119	$119	—	—	—	$119 – $119
16	Highmark facility · fee schedule · outpatient · +1 other terms	1	$30	$30	$2	7%	—	$28 – $33