APC 1490

Pembrolizumab injection

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

Inj pembrolizumab

Payers reporting APC 1490

Payer pricing summary

Low

$32

Average

$1.1k

Median

$85

High

$12.4k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	4	$82	$84	$31	37%	1,919	$60 – $135
2	Highmark case rate · outpatient · +2 other terms	5	$60	$82	$29	35%	59–77	$60 – $132
3	Bcbs Mn other · outpatient	1	$12.4k	$12.4k	—	—	1–10	$12.4k – $12.4k
4	UnitedHealthcare fee schedule · outpatient · +6 other terms	175	$60	$60	$1	2%	—	$54 – $63
5	Humana fee schedule · outpatient · +5 other terms	161	$60	$62	$17	27%	—	$58 – $239
6	Aetna fee schedule · outpatient · +5 other terms	155	$60	$62	$7	11%	—	$58 – $101
7	WellCare fee schedule · outpatient · +3 other terms	131	$62	$63	$2	4%	—	$58 – $79
8	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$61	$61	$2	3%	—	$57 – $85
9	Devoted fee schedule · outpatient · +2 other terms	122	$60	$60	$1	1%	—	$60 – $63
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$62	$61	$2	3%	—	$60 – $66
11	Molina fee schedule · outpatient · +3 other terms	69	$88	$86	$33	39%	—	$58 – $156
12	Superior Healthplan fee schedule · outpatient	40	$63	$63	$1	1%	—	$63 – $64
13	Anthem fee schedule · outpatient · +2 other terms	31	$60	$60	$1	2%	—	$58 – $62
14	Oscar fee schedule · outpatient · +2 other terms	27	$60	$65	$13	20%	—	$59 – $101
15	Medicare facility · fee schedule · outpatient · +2 other terms	20	$60	$300	$1.2k	392%	—	$60 – $6.1k
16	Amerihealth Caritas fee schedule · outpatient · +2 other terms	17	$72	$71	$1	1%	—	$69 – $72
17	Cigna fee schedule · outpatient · +5 other terms	16	$61	$61	$4	6%	—	$58 – $73
18	Clover fee schedule · outpatient · +3 other terms	15	$64	$64	$1	1%	—	$63 – $64
19	Kaiser fee schedule · outpatient · +2 other terms	15	$61	$61	$1	1%	—	$59 – $61
20	Ambetter case rate · outpatient · +4 other terms	12	$109	$119	$12	10%	—	$109 – $134
21	Optum fee schedule · outpatient · +2 other terms	8	$60	$91	$44	48%	—	$60 – $153
22	Medica facility · fee schedule · outpatient	5	$62	$62	$0	0%	—	$62 – $63
23	Tricare facility · fee schedule · outpatient	5	$60	$60	—	—	—	$60 – $60
24	Bcbs Nj facility · other · outpatient	3	$60	$60	—	—	—	$60 – $60
25	Sanford Health Plan case rate · outpatient	3	$85	$85	$9	10%	—	$71 – $98

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