APC 09255
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
Inj, invega sustenna, 1 m
Low
$12
Average
$1.9k
Median
$16
High
$9.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
15 payers; the 90th percentile is 517.2× 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 | $15 | $14 | $4 | 31% | — | $4 – $24 |
| 2 | Caresource fee schedule · outpatient | 20 | $15 | $13 | $5 | 41% | — | $4 – $23 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $15 | $13 | $6 | 49% | — | $4 – $23 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 7 | $15 | $2.5k | $3.9k | 153% | — | $15 – $12.6k |
| 5 | Aetna facility · fee schedule · outpatient · +1 other terms | 6 | $14 | $15 | $1 | 4% | — | $14 – $16 |
| 6 | Clover fee schedule · outpatient | 5 | $12 | $12 | $7 | 54% | — | $4 – $23 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $12 | $12 | $7 | 54% | — | $4 – $23 |
| 8 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 5 | $12 | $12 | $7 | 54% | — | $4 – $23 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $12 | $12 | $7 | 54% | — | $4 – $23 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | Medica facility · fee schedule · outpatient | 3 | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $15 | $15 | — | — | — | $15 – $15 |
| 13 | Ambetter facility · fee schedule · outpatient | 2 | $9.3k | $9.3k | $7.7k | 83% | — | $2.2k – $23.4k |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $7.9k | $7.9k | $7.5k | 95% | — | $1.2k – $27.2k |
| 15 | Cigna facility · fee schedule · outpatient | 2 | $5.0k | $5.0k | $4.2k | 83% | — | $1.2k – $12.6k |
← Hospitals reporting APC 09255 · Snapshot 20261111T120946Z-9134e7f7