APC 09003
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
Rsv mab im 50mg
Low
$328
Average
$524
Median
$437
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 2.2× 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 | $424 | $405 | $62 | 15% | — | $221 – $454 |
| 2 | Caresource fee schedule · outpatient | 20 | $437 | $397 | $86 | 22% | — | $225 – $450 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $437 | $360 | $104 | 29% | — | $218 – $437 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $437 | $556 | $195 | 35% | — | $437 – $874 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 7 | $445 | $575 | $222 | 39% | — | $437 – $1.1k |
| 6 | Aetna fee schedule · outpatient · +1 other terms | 5 | $334 | $333 | $111 | 33% | — | $221 – $445 |
| 7 | Clover fee schedule · outpatient | 5 | $328 | $328 | $109 | 33% | — | $218 – $437 |
| 8 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $337 | $337 | $112 | 33% | — | $225 – $450 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $337 | $337 | $112 | 33% | — | $225 – $450 |
| 10 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $1.0k | $967 | $528 | 55% | — | $437 – $1.9k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $437 | $437 | — | — | — | $437 – $437 |
| 12 | Molina facility · fee schedule · outpatient | 3 | $459 | $459 | — | — | — | $459 – $459 |
| 13 | Tricare facility · fee schedule · outpatient | 3 | $437 | $437 | — | — | — | $437 – $437 |
| 14 | Ambetter facility · fee schedule · outpatient | 2 | $1.2k | $1.2k | $404 | 33% | — | $808 – $1.6k |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $655 | $655 | $218 | 33% | — | $437 – $874 |
| 16 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $421 | $421 | $29 | 7% | — | $394 – $462 |
| 17 | Medica facility · fee schedule · outpatient | 1 | $454 | $454 | — | — | — | $454 – $454 |
← Hospitals reporting APC 09003 · Snapshot 20261111T120946Z-9134e7f7