APC 764
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
Ketorolac tromethamine inj
Low
$0
Average
$313
Median
$11
High
$2.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 2835.9× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Excellus case rate · outpatient | 2 | $1 | $1 | $0 | 13% | 761–779 | $1 – $1 |
| 2 | Caresource facility · other · outpatient | 2 | $2.9k | $2.9k | $1.0k | 37% | 2–20 | $1.8k – $3.9k |
| 3 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 173 | $0 | $0 | $0 | 32% | — | $0 – $1 |
| 4 | Humana fee schedule · outpatient · +3 other terms | 160 | $0 | $0 | $0 | 36% | — | $0 – $1 |
| 5 | Aetna fee schedule · outpatient · +3 other terms | 155 | $0 | $0 | $0 | 50% | — | $0 – $1 |
| 6 | WellCare fee schedule · outpatient · +1 other terms | 130 | $0 | $0 | $0 | 18% | — | $0 – $1 |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 125 | $0 | $0 | $0 | 18% | — | $0 – $1 |
| 8 | Devoted fee schedule · outpatient · +1 other terms | 122 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 9 | Cigna Healthspring fee schedule · outpatient | 110 | $0 | $0 | $0 | 9% | — | $0 – $0 |
| 10 | Molina fee schedule · outpatient · +3 other terms | 68 | $1 | $1 | $0 | 42% | — | $0 – $1 |
| 11 | Superior Healthplan fee schedule · outpatient | 40 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 12 | Anthem fee schedule · outpatient · +2 other terms | 31 | $0 | $0 | $0 | 40% | — | $0 – $1 |
| 13 | Oscar fee schedule · outpatient · +2 other terms | 27 | $0 | $0 | $0 | 60% | — | $0 – $1 |
| 14 | Amerihealth Caritas fee schedule · outpatient | 17 | $0 | $0 | $0 | 8% | — | $0 – $0 |
| 15 | Cigna fee schedule · outpatient · +3 other terms | 16 | $0 | $1 | $1 | 73% | — | $0 – $2 |
| 16 | Clover fee schedule · outpatient · +2 other terms | 15 | $0 | $0 | $0 | 3% | — | $0 – $0 |
| 17 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $0 | $0 | $0 | 36% | — | $0 – $1 |
| 18 | Ambetter case rate · outpatient · +2 other terms | 12 | $1 | $1 | $1 | 56% | — | $1 – $2 |
| 19 | Medicare case rate · outpatient | 8 | $0 | $0 | $0 | 4% | — | $0 – $0 |
| 20 | Optum fee schedule · outpatient · +1 other terms | 8 | $0 | $0 | $0 | 48% | — | $0 – $1 |
| 21 | Highmark facility · other · outpatient · +1 other terms | 4 | $7 | $7 | $9 | 122% | — | $1 – $75 |
| 22 | Bcbs Nj facility · other · outpatient | 3 | $11 | $12 | $11 | 95% | — | $3 – $75 |
| 23 | Magellan fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Sanford Health Plan case rate · outpatient | 1 | $1 | $1 | $0 | 9% | — | $0 – $1 |
← Hospitals reporting APC 764 · Snapshot 20261111T120946Z-9134e7f7