APC 2072

Paliperidone palmitate injection (Erzofri), 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

Inj, erzofri, 1 mg

Payers reporting APC 2072

Payer pricing summary

Low

Average

$18

Median

$16

High

$25

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	153	$15	$15	$0	2%	—	$14 – $16
2	Humana fee schedule · outpatient · +3 other terms	148	$15	$16	$4	28%	—	$14 – $61
3	Aetna fee schedule · outpatient · +3 other terms	135	$15	$15	$0	2%	—	$15 – $17
4	WellCare fee schedule · outpatient · +2 other terms	127	$16	$16	$1	5%	—	$15 – $20
5	Devoted fee schedule · outpatient	122	$15	$15	$0	3%	—	$14 – $16
6	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	121	$16	$16	$1	4%	—	$14 – $17
7	Cigna Healthspring fee schedule · outpatient	110	$16	$16	$1	4%	—	$14 – $17
8	Molina fee schedule · outpatient · +2 other terms	55	$23	$22	$9	38%	—	$16 – $40
9	Superior Healthplan fee schedule · outpatient	40	$16	$16	$0	2%	—	$15 – $17
10	Anthem fee schedule · outpatient	24	$15	$15	$0	1%	—	$15 – $16
11	Oscar fee schedule · outpatient	24	$15	$15	$1	5%	—	$14 – $16
12	Amerihealth Caritas fee schedule · outpatient	17	$18	$18	$0	1%	—	$18 – $18
13	Clover fee schedule · outpatient · +1 other terms	15	$15	$16	$0	3%	—	$15 – $17
14	Kaiser fee schedule · outpatient	13	$16	$16	$0	1%	—	$15 – $16
15	Cigna fee schedule · outpatient · +1 other terms	9	$16	$16	$0	3%	—	$16 – $17
16	Medicare case rate · outpatient	8	$17	$17	—	—	—	$17 – $17
17	Optum fee schedule · outpatient	8	$16	$23	$10	45%	—	$15 – $40
18	Ambetter case rate · outpatient · +2 other terms	7	$30	$30	—	—	—	$30 – $30
19	Highmark case rate · outpatient	5	$17	$23	$8	35%	—	$17 – $37
20	Tricare facility · fee schedule · outpatient	5	$17	$17	—	—	—	$17 – $17
21	Excellus case rate · outpatient	4	$23	$23	$9	37%	—	$17 – $38
22	Sanford Health Plan case rate · outpatient	3	$25	$25	$3	10%	—	$21 – $29
23	Aetna Better Health facility · case rate · outpatient	1	$13	$13	$4	32%	—	$9 – $17
24	Magellan fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
25	Medicaid facility · case rate · outpatient	1	$9	$9	—	—	—	$9 – $9