APC 767
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, nogapendekin pmln 1
Low
$95
Average
$112
Median
$99
High
$188
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 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 · +1 other terms | 173 | $96 | $96 | $1 | 1% | — | $94 – $100 |
| 2 | Humana fee schedule · outpatient · +1 other terms | 160 | $95 | $98 | $27 | 27% | — | $91 – $379 |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 155 | $96 | $98 | $12 | 12% | — | $93 – $166 |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 130 | $98 | $98 | $3 | 3% | — | $95 – $125 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 125 | $96 | $96 | $1 | 1% | — | $93 – $99 |
| 6 | Devoted fee schedule · outpatient | 122 | $95 | $95 | $0 | 0% | — | $94 – $99 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $99 | $96 | $3 | 3% | — | $94 – $102 |
| 8 | Molina fee schedule · outpatient · +1 other terms | 68 | $139 | $136 | $52 | 38% | — | $95 – $248 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $99 | $99 | $0 | 0% | — | $99 – $99 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $95 | $96 | $1 | 1% | — | $94 – $98 |
| 11 | Oscar fee schedule · outpatient | 27 | $93 | $103 | $22 | 22% | — | $93 – $166 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $114 | $113 | $2 | 2% | — | $108 – $114 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $97 | $98 | $3 | 3% | — | $95 – $102 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $99 | $99 | $0 | 0% | — | $99 – $99 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $97 | $97 | $0 | 0% | — | $95 – $97 |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $170 | $188 | $20 | 11% | — | $170 – $212 |
| 17 | Medicare case rate · outpatient | 8 | $95 | $95 | — | — | — | $95 – $95 |
| 18 | Optum fee schedule · outpatient | 8 | $95 | $142 | $67 | 47% | — | $94 – $237 |
| 19 | Highmark case rate · outpatient | 3 | $95 | $95 | — | — | — | $95 – $95 |
| 20 | Excellus case rate · outpatient | 2 | $188 | $188 | $24 | 13% | — | $164 – $212 |
| 21 | Magellan fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 22 | Sanford Health Plan case rate · outpatient | 1 | $143 | $143 | $12 | 8% | — | $131 – $154 |
← Hospitals reporting APC 767 · Snapshot 20261111T120946Z-9134e7f7