APC 00903
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
Cytomegalovirus imm IV /v
Low
$1.8k
Average
$29.6k
Median
$35.9k
High
$47.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 25.5× 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 | 86 | $1.8k | $10.8k | $27.2k | 252% | — | $1.4k – $94.0k |
| 2 | Caresource fee schedule · outpatient | 20 | $1.8k | $20.1k | $36.5k | 182% | — | $1.8k – $93.1k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 11 | $1.8k | $32.8k | $42.3k | 129% | — | $1.8k – $90.4k |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 5 | $47.0k | $46.9k | $45.0k | 96% | — | $1.8k – $92.2k |
| 5 | Clover fee schedule · outpatient | 5 | $46.1k | $46.1k | $44.3k | 96% | — | $1.8k – $90.4k |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $47.5k | $47.5k | $45.6k | 96% | — | $1.9k – $93.1k |
| 7 | Medicare fee schedule · outpatient | 5 | $46.1k | $46.1k | $44.3k | 96% | — | $1.8k – $90.4k |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $46.1k | $46.1k | $44.3k | 96% | — | $1.8k – $90.4k |
| 9 | WellCare fee schedule · outpatient | 5 | $47.5k | $47.5k | $45.6k | 96% | — | $1.9k – $93.1k |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Tricare facility · fee schedule · outpatient | 3 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
← Hospitals reporting APC 00903 · Snapshot 20261111T120946Z-9134e7f7