APC 00904
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
Testosterone pellet 75 mg
Low
$72
Average
$84
Median
$74
High
$144
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
8 payers; the 90th percentile is 1.3× 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 | $72 | $72 | $3 | 4% | — | $56 – $74 |
| 2 | Caresource fee schedule · outpatient | 15 | $74 | $74 | — | — | — | $74 – $74 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $74 | $74 | — | — | — | $74 – $74 |
| 4 | Carefirst facility · fee schedule · outpatient | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Tricare facility · fee schedule · outpatient | 3 | $74 | $74 | — | — | — | $74 – $74 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient | 3 | $75 | $144 | $120 | 83% | — | $75 – $352 |
| 7 | Aetna facility · fee schedule · outpatient | 2 | $77 | $77 | — | — | — | $77 – $77 |
| 8 | Kaiser facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
← Hospitals reporting APC 00904 · Snapshot 20261111T120946Z-9134e7f7