APC 01458
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
Phentolaine mesylate inj
Low
$270
Average
$1.1k
Median
$1.1k
High
$2.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 4.6× 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 | $408 | $791 | $1.2k | 148% | — | $250 – $4.4k |
| 2 | Caresource fee schedule · outpatient | 20 | $421 | $1.2k | $1.6k | 130% | — | $421 – $4.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $421 | $1.7k | $1.8k | 103% | — | $421 – $4.2k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 9 | $429 | $840 | $814 | 97% | — | $257 – $3.0k |
| 5 | Aetna facility · fee schedule · outpatient · +1 other terms | 7 | $400 | $395 | $35 | 9% | — | $257 – $433 |
| 6 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $421 | $548 | $368 | 67% | — | $289 – $1.4k |
| 7 | Clover fee schedule · outpatient | 5 | $2.3k | $2.3k | $1.9k | 82% | — | $421 – $4.2k |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $2.4k | $2.4k | $1.9k | 82% | — | $433 – $4.3k |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $2.4k | $2.4k | $1.9k | 82% | — | $433 – $4.3k |
| 10 | Ambetter facility · fee schedule · outpatient | 3 | $1.6k | $1.4k | $1.1k | 80% | — | $360 – $2.7k |
| 11 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $1.4k | $1.3k | $1.1k | 85% | — | $289 – $3.1k |
| 12 | Carefirst facility · fee schedule · outpatient | 3 | $421 | $421 | — | — | — | $421 – $421 |
| 13 | Medica facility · fee schedule · outpatient | 3 | $437 | $437 | — | — | — | $437 – $437 |
| 14 | Tricare facility · fee schedule · outpatient | 3 | $421 | $421 | — | — | — | $421 – $421 |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $866 | $866 | $577 | 67% | — | $289 – $1.4k |
| 16 | Aetna Better Health facility · fee schedule · outpatient | 1 | $1.7k | $1.7k | $1.4k | 82% | — | $303 – $3.0k |
| 17 | Devoted facility · fee schedule · outpatient | 1 | $270 | $270 | — | — | — | $270 – $270 |
| 18 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $405 | $405 | $28 | 7% | — | $379 – $445 |
| 19 | Oscar facility · fee schedule · outpatient | 1 | $386 | $386 | — | — | — | $386 – $386 |
← Hospitals reporting APC 01458 · Snapshot 20261111T120946Z-9134e7f7