APC 01274
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
Edetate calcium disodium
Low
$6.2k
Average
$14.0k
Median
$10.5k
High
$31.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 3.9× 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 | $6.0k | $8.8k | $8.1k | 91% | — | $4.7k – $32.3k |
| 2 | Caresource fee schedule · outpatient | 20 | $6.2k | $12.7k | $11.2k | 88% | — | $6.2k – $32.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $6.2k | $19.6k | $12.4k | 63% | — | $6.2k – $31.0k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $6.3k | $6.4k | $533 | 8% | — | $6.1k – $7.7k |
| 5 | Aetna fee schedule · outpatient · +1 other terms | 5 | $31.7k | $31.5k | $152 | 0% | — | $31.4k – $31.7k |
| 6 | Clover fee schedule · outpatient | 5 | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $32.0k | $32.0k | — | — | — | $32.0k – $32.0k |
| 8 | Medicare fee schedule · outpatient · +1 other terms | 5 | $31.0k | $31.0k | — | — | — | $31.0k – $31.0k |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $32.0k | $32.0k | — | — | — | $32.0k – $32.0k |
| 10 | Ambetter facility · fee schedule · outpatient | 3 | $11.5k | $10.5k | $1.4k | 13% | — | $8.5k – $11.5k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 13 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $9.7k | $9.7k | $3.6k | 37% | — | $6.2k – $13.3k |
| 14 | Cigna facility · fee schedule · outpatient | 2 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 15 | Devoted facility · fee schedule · outpatient | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 16 | Medica facility · fee schedule · outpatient | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 17 | Oscar facility · fee schedule · outpatient | 1 | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
← Hospitals reporting APC 01274 · Snapshot 20261111T120946Z-9134e7f7