APC 1475

Golimumab intravenous infusion, per 1 mg

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Golimumab for iv use 1mg

Payers reporting APC 1475

Payer pricing summary

Low

Average

$2.1k

Median

$14

High

$57.5k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Excellus case rate · outpatient	4	$15	$15	$6	37%	582	$11 – $25
2	Highmark case rate · outpatient · +2 other terms	5	$11	$15	$5	35%	41	$11 – $24
3	First Health other · outpatient	1	$57.5k	$57.5k	—	—	1–10	$57.5k – $57.5k
4	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$12	$12	$0	3%	—	$11 – $12
5	Humana fee schedule · outpatient · +5 other terms	161	$12	$12	$3	28%	—	$11 – $47
6	Aetna fee schedule · outpatient · +4 other terms	155	$12	$12	$1	10%	—	$11 – $18
7	WellCare fee schedule · outpatient · +2 other terms	131	$12	$12	$0	4%	—	$11 – $15
8	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$12	$12	$1	5%	—	$11 – $17
9	Devoted fee schedule · outpatient · +2 other terms	122	$12	$12	$0	2%	—	$11 – $12
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$12	$12	$1	4%	—	$11 – $12
11	Molina fee schedule · outpatient · +3 other terms	69	$17	$16	$6	40%	—	$11 – $30
12	Superior Healthplan fee schedule · outpatient	40	$12	$12	$0	1%	—	$12 – $12
13	Anthem fee schedule · outpatient · +2 other terms	31	$12	$11	$1	4%	—	$11 – $12
14	Oscar fee schedule · outpatient · +2 other terms	27	$11	$12	$2	17%	—	$11 – $18
15	Medicare facility · fee schedule · outpatient · +2 other terms	18	$12	$37	$115	310%	—	$11 – $552
16	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$14	$14	$1	4%	—	$13 – $14
17	Cigna fee schedule · outpatient · +3 other terms	16	$12	$12	$2	16%	—	$11 – $19
18	Clover fee schedule · outpatient · +3 other terms	15	$12	$12	$0	2%	—	$12 – $12
19	Kaiser fee schedule · outpatient · +2 other terms	15	$12	$12	$0	3%	—	$11 – $12
20	Ambetter case rate · outpatient · +3 other terms	12	$20	$22	$3	12%	—	$20 – $25
21	Optum fee schedule · outpatient · +3 other terms	8	$12	$17	$8	46%	—	$11 – $28
22	Medica facility · fee schedule · outpatient	5	$12	$12	$0	0%	—	$12 – $12
23	Tricare facility · fee schedule · outpatient	5	$11	$11	—	—	—	$11 – $11
24	Bcbs Nj facility · other · outpatient	3	$12	$12	—	—	—	$12 – $12
25	Sanford Health Plan case rate · outpatient	3	$16	$16	$2	10%	—	$13 – $18

Page 1 of 2 · 28 payers