APC 1823

Dalbavancin 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

Injection, dalbavancin

Payers reporting APC 1823

Payer pricing summary

Low

Average

$403

Median

$22

High

$5.3k

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$21	$22	$8	37%	2–20	$16 – $35
2	Highmark case rate · outpatient · +2 other terms	5	$16	$21	$7	35%	1–10	$16 – $34
3	Caresource facility · other · outpatient	1	$5.3k	$5.3k	—	—	1–10	$5.3k – $5.3k
4	UnitedHealthcare fee schedule · outpatient · +7 other terms	174	$16	$15	$1	8%	—	$11 – $16
5	Humana fee schedule · outpatient · +6 other terms	161	$16	$15	$5	32%	—	$11 – $62
6	Aetna fee schedule · outpatient · +5 other terms	155	$16	$16	$3	16%	—	$11 – $27
7	WellCare fee schedule · outpatient · +3 other terms	131	$16	$15	$2	11%	—	$12 – $21
8	Blue Cross Blue Shield fee schedule · outpatient · +5 other terms	126	$16	$15	$2	10%	—	$11 – $24
9	Devoted fee schedule · outpatient · +1 other terms	122	$16	$15	$1	7%	—	$11 – $16
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$16	$15	$2	14%	—	$11 – $17
11	Molina fee schedule · outpatient · +4 other terms	69	$23	$22	$9	42%	—	$12 – $41
12	Superior Healthplan fee schedule · outpatient	40	$16	$16	$1	6%	—	$12 – $16
13	Anthem fee schedule · outpatient · +2 other terms	31	$16	$16	$1	5%	—	$11 – $16
14	Oscar fee schedule · outpatient · +2 other terms	27	$15	$17	$4	22%	—	$15 – $27
15	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$19	$18	$2	13%	—	$13 – $19
16	Cigna fee schedule · outpatient · +2 other terms	16	$16	$16	$1	6%	—	$16 – $20
17	Clover fee schedule · outpatient · +2 other terms	15	$16	$16	$1	7%	—	$12 – $16
18	Kaiser fee schedule · outpatient · +2 other terms	15	$16	$16	$0	1%	—	$16 – $16
19	Medicare facility · fee schedule · outpatient · +2 other terms	15	$16	$84	$270	323%	—	$9 – $1.1k
20	Ambetter case rate · outpatient · +4 other terms	12	$28	$31	$4	12%	—	$28 – $36
21	Optum fee schedule · outpatient · +1 other terms	8	$16	$21	$10	45%	—	$11 – $38
22	Tricare facility · fee schedule · outpatient	5	$16	$16	—	—	—	$16 – $16
23	Bcbs Nj facility · other · outpatient	3	$16	$16	—	—	—	$16 – $16
24	Sanford Health Plan case rate · outpatient	3	$23	$23	$2	10%	—	$19 – $26
25	Medica facility · fee schedule · outpatient	2	$16	$16	—	—	—	$16 – $16

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