APC 09097

Retacrit injection for anemia, non-dialysis use

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj retacrit non-esrd use

Payers reporting APC 09097

Payer pricing summary

Low

Average

$38

Median

$12

High

$194

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +1 other terms	86	$7	$8	$0	4%	—	$6 – $8
2	Caresource fee schedule · outpatient	20	$8	$8	$0	1%	—	$8 – $8
3	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	11	$8	$8	—	—	—	$8 – $8
4	UnitedHealthcare facility · fee schedule · outpatient · +2 other terms	8	$8	$62	$100	160%	—	$8 – $398
5	Medicare facility · fee schedule · outpatient · +1 other terms	7	$8	$59	$92	156%	—	$8 – $319
6	Aetna facility · fee schedule · outpatient · +2 other terms	6	$7	$7	$0	4%	—	$7 – $8
7	Clover fee schedule · outpatient	5	$8	$8	—	—	—	$8 – $8
8	Kaiser fee schedule · outpatient · +1 other terms	5	$8	$8	—	—	—	$8 – $8
9	WellCare fee schedule · outpatient · +1 other terms	5	$8	$8	—	—	—	$8 – $8
10	Amerihealth Caritas facility · fee schedule · outpatient	3	$165	$148	$186	126%	—	$8 – $685
11	Carefirst facility · fee schedule · outpatient	3	$8	$8	—	—	—	$8 – $8
12	Medica facility · fee schedule · outpatient	3	$8	$8	—	—	—	$8 – $8
13	Tricare facility · fee schedule · outpatient	3	$8	$8	—	—	—	$8 – $8
14	Ambetter facility · fee schedule · outpatient	2	$194	$194	$199	102%	—	$29 – $590
15	Bcbs Ca facility · fee schedule · outpatient	2	$24	$23	$10	46%	—	$8 – $30
16	Cigna facility · fee schedule · outpatient	2	$105	$105	$107	102%	—	$16 – $319
17	MultiPlan facility · other · outpatient	2	$12	$12	—	—	—	$12 – $12
18	Highmark facility · fee schedule · outpatient · +1 other terms	1	$7	$7	$1	7%	—	$7 – $8