APC 756

Oral methotrexate (Xatmep) liquid medication

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

Oral methotrexate (xatmep

Payers reporting APC 756

Payer pricing summary

Low

$22

Average

$27

Median

$24

High

$45

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	174	$23	$23	$7	28%	—	$21 – $127
2	Humana fee schedule · outpatient · +1 other terms	160	$22	$23	$6	27%	—	$21 – $90
3	Aetna fee schedule · outpatient · +1 other terms	155	$23	$23	$2	10%	—	$21 – $36
4	WellCare fee schedule · outpatient · +1 other terms	130	$23	$23	$1	4%	—	$21 – $30
5	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	125	$23	$23	$0	2%	—	$21 – $24
6	Devoted fee schedule · outpatient	122	$22	$22	$0	1%	—	$22 – $24
7	Cigna Healthspring fee schedule · outpatient	110	$23	$23	$1	3%	—	$22 – $25
8	Molina fee schedule · outpatient · +1 other terms	68	$33	$32	$12	39%	—	$21 – $59
9	Superior Healthplan fee schedule · outpatient	40	$24	$24	$0	1%	—	$23 – $24
10	Anthem fee schedule · outpatient · +2 other terms	31	$22	$22	$1	4%	—	$21 – $23
11	Oscar fee schedule · outpatient	27	$22	$24	$4	18%	—	$22 – $36
12	Amerihealth Caritas fee schedule · outpatient	17	$27	$27	$0	1%	—	$26 – $27
13	Cigna fee schedule · outpatient · +1 other terms	15	$23	$22	$1	6%	—	$21 – $24
14	Clover fee schedule · outpatient · +1 other terms	15	$23	$24	$0	1%	—	$23 – $24
15	Kaiser fee schedule · outpatient · +1 other terms	15	$23	$23	$1	3%	—	$21 – $23
16	Ambetter case rate · outpatient · +1 other terms	12	$41	$44	$3	8%	—	$41 – $48
17	Medicare case rate · outpatient	8	$23	$23	—	—	—	$23 – $23
18	Optum fee schedule · outpatient	8	$23	$34	$16	47%	—	$22 – $57
19	Highmark case rate · outpatient	3	$35	$33	$11	34%	—	$23 – $50
20	Excellus case rate · outpatient	2	$45	$45	$6	13%	—	$39 – $51
21	Magellan fee schedule · outpatient	1	$22	$22	—	—	—	$22 – $22
22	Sanford Health Plan case rate · outpatient	1	$34	$34	$3	8%	—	$32 – $37