APC 784
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, tyenne, 1 mg
Low
$4
Average
$54
Median
$4
High
$1.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
24 payers; the 90th percentile is 1.8× 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 · +2 other terms | 173 | $4 | $4 | $0 | 2% | — | $4 – $5 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 160 | $4 | $4 | $1 | 28% | — | $4 – $17 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $4 | $4 | $1 | 12% | — | $4 – $7 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 130 | $4 | $4 | $0 | 4% | — | $4 – $6 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 125 | $4 | $4 | $0 | 3% | — | $4 – $5 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $4 | $4 | $0 | 3% | — | $4 – $4 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $4 | $4 | $0 | 4% | — | $4 – $5 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 68 | $6 | $6 | $2 | 39% | — | $4 – $11 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $4 | $4 | $0 | 2% | — | $4 – $5 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $4 | $5 | $1 | 19% | — | $4 – $7 |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $5 | $5 | $0 | 3% | — | $5 – $5 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 15 | $4 | $4 | $0 | 4% | — | $4 – $5 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $5 | $5 | $0 | 3% | — | $4 – $5 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $4 | $4 | $0 | 1% | — | $4 – $4 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $8 | $9 | $2 | 19% | — | $8 – $12 |
| 17 | Medicare facility · fee schedule · outpatient · +1 other terms | 11 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $4 | $6 | $3 | 49% | — | $4 – $11 |
| 19 | Medica facility · fee schedule · outpatient | 5 | $4 | $4 | $0 | 0% | — | $4 – $4 |
| 20 | Highmark case rate · outpatient · +2 other terms | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 21 | Excellus case rate · outpatient | 2 | $9 | $9 | $1 | 13% | — | $8 – $10 |
| 22 | Bcbs Nj facility · other · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Magellan fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 24 | Sanford Health Plan case rate · outpatient | 1 | $7 | $7 | $1 | 8% | — | $7 – $8 |
← Hospitals reporting APC 784 · Snapshot 20261111T120946Z-9134e7f7