APC 2064
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 marstacim-hncq, 0.5 m
Low
$27
Average
$55
Median
$52
High
$76
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.5× 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 · +3 other terms | 153 | $51 | $51 | $1 | 1% | — | $50 – $53 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 148 | $50 | $53 | $15 | 28% | — | $49 – $202 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 135 | $51 | $51 | $1 | 1% | — | $50 – $56 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 127 | $52 | $53 | $2 | 4% | — | $50 – $67 |
| 5 | Devoted fee schedule · outpatient | 122 | $50 | $50 | $0 | 1% | — | $50 – $53 |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 121 | $51 | $51 | $1 | 1% | — | $49 – $53 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $52 | $52 | $1 | 3% | — | $50 – $55 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 55 | $74 | $74 | $29 | 38% | — | $51 – $132 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $53 | $53 | $0 | 0% | — | $53 – $54 |
| 10 | Anthem fee schedule · outpatient | 24 | $50 | $51 | $1 | 1% | — | $50 – $52 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 24 | $49 | $51 | $2 | 4% | — | $49 – $53 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $61 | $60 | $1 | 1% | — | $58 – $61 |
| 13 | Clover fee schedule · outpatient · +1 other terms | 15 | $53 | $53 | $0 | 1% | — | $53 – $54 |
| 14 | Kaiser fee schedule · outpatient | 13 | $51 | $51 | $0 | 1% | — | $50 – $51 |
| 15 | Cigna fee schedule · outpatient · +1 other terms | 9 | $51 | $52 | $1 | 3% | — | $51 – $55 |
| 16 | Medicare case rate · outpatient · +1 other terms | 8 | $47 | $47 | $1 | 2% | — | $47 – $50 |
| 17 | Optum fee schedule · outpatient | 8 | $51 | $76 | $36 | 47% | — | $50 – $128 |
| 18 | Ambetter case rate · outpatient · +2 other terms | 7 | $84 | $84 | $1 | 1% | — | $84 – $86 |
| 19 | Highmark case rate · outpatient | 5 | $51 | $51 | — | — | — | $51 – $51 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $51 | $51 | — | — | — | $51 – $51 |
| 21 | Excellus case rate · outpatient | 4 | $70 | $71 | $26 | 37% | — | $51 – $115 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $73 | $74 | $8 | 10% | — | $61 – $85 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $39 | $39 | $13 | 32% | — | $27 – $52 |
| 24 | Magellan fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
← Hospitals reporting APC 2064 · Snapshot 20261111T120946Z-9134e7f7