APC 754
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
Daptomycin (xellia) unrefrig
Low
$0
Average
$53
Median
$2
High
$440
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 3600.0× 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 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 21 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 18 | $0 | $7 | $29 | 410% | — | $0 – $127 |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 17 | $0 | $0 | $0 | 20% | — | $0 – $0 |
| 4 | Humana case rate · outpatient · +2 other terms | 14 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Ambetter case rate · outpatient | 12 | $0 | $0 | $0 | 13% | — | $0 – $0 |
| 6 | Clover case rate · outpatient · +1 other terms | 12 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Molina fee schedule · outpatient · +1 other terms | 12 | $0 | $0 | $0 | 20% | — | $0 – $0 |
| 8 | WellCare case rate · outpatient | 12 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Medicare case rate · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 7 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cigna case rate · outpatient · +1 other terms | 5 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | Kaiser fee schedule · outpatient · +1 other terms | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Bcbs Nj facility · other · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 14 | Devoted facility · other · outpatient | 1 | $58 | $58 | — | — | — | $58 – $58 |
| 15 | Highmark facility · other · outpatient | 1 | $90 | $90 | $54 | 60% | — | $36 – $144 |
| 16 | Optum fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Oscar facility · other · outpatient | 1 | $144 | $144 | — | — | — | $144 – $144 |
| 18 | Sanford Health Plan case rate · outpatient | 1 | $0 | $0 | $0 | 13% | — | $0 – $0 |
← Hospitals reporting APC 754 · Snapshot 20261111T120946Z-9134e7f7