APC 1643
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
Y90 ibritumomab, rx
Low
$29.7k
Average
$64.0k
Median
$59.7k
High
$104.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 1.4× 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 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $57.4k | $57.5k | $660 | 1% | — | $56.5k – $59.7k |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $56.8k | $59.1k | $16.2k | 27% | — | $54.6k – $227.3k |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $57.4k | $58.8k | $7.2k | 12% | — | $56.3k – $99.4k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $58.5k | $59.0k | $2.0k | 3% | — | $56.8k – $75.0k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $58.0k | $57.7k | $3.5k | 6% | — | $55.7k – $98.2k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $56.8k | $56.8k | $179 | 0% | — | $56.8k – $59.7k |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $59.1k | $57.9k | $1.6k | 3% | — | $56.8k – $61.4k |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $83.7k | $81.4k | $31.2k | 38% | — | $56.8k – $148.9k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $59.7k | $59.7k | — | — | — | $59.7k – $59.7k |
| 10 | Anthem fee schedule · outpatient · +3 other terms | 31 | $56.8k | $57.3k | $742 | 1% | — | $56.8k – $58.5k |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $55.7k | $62.0k | $13.4k | 22% | — | $55.7k – $99.4k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $68.2k | $67.6k | $1.3k | 2% | — | $64.8k – $68.2k |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $58.0k | $59.9k | $5.5k | 9% | — | $56.8k – $80.3k |
| 14 | Clover fee schedule · outpatient · +3 other terms | 15 | $59.7k | $59.7k | — | — | — | $59.7k – $59.7k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $58.0k | $57.9k | $275 | 0% | — | $56.8k – $58.0k |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $102.3k | $122.3k | $23.7k | 19% | — | $102.3k – $150.3k |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $56.8k | $56.8k | — | — | — | $56.8k – $56.8k |
| 18 | Optum fee schedule · outpatient · +3 other terms | 8 | $56.8k | $85.2k | $40.2k | 47% | — | $56.8k – $142.1k |
| 19 | Highmark case rate · outpatient · +1 other terms | 5 | $56.8k | $76.8k | $27.2k | 35% | — | $56.8k – $124.6k |
| 20 | Medica facility · fee schedule · outpatient | 5 | $59.1k | $59.3k | $278 | 0% | — | $59.1k – $59.7k |
| 21 | Tricare facility · fee schedule · outpatient | 5 | $56.8k | $56.8k | — | — | — | $56.8k – $56.8k |
| 22 | Excellus case rate · outpatient | 4 | $77.6k | $79.3k | $29.0k | 37% | — | $56.8k – $127.5k |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $82.3k | $82.9k | $8.4k | 10% | — | $68.8k – $94.8k |
| 24 | Aetna Better Health facility · case rate · outpatient | 1 | $43.8k | $43.8k | $14.1k | 32% | — | $29.7k – $58.0k |
| 25 | Bcbs Nj facility · other · outpatient | 1 | $56.8k | $56.8k | — | — | — | $56.8k – $56.8k |
← Hospitals reporting APC 1643 · Snapshot 20261111T120946Z-9134e7f7