APC 792
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, glycopyrrolate, 0.1 mg
Low
$0
Average
$235
Median
$62
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 1554.8× 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 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 21 | $0 | $0 | $0 | 9% | — | $0 – $1 |
| 2 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 21 | $1 | $12 | $50 | 424% | — | $1 – $236 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 20 | $1 | $1 | $0 | 26% | — | $1 – $1 |
| 4 | Humana case rate · outpatient · +2 other terms | 14 | $0 | $1 | $0 | 8% | — | $0 – $1 |
| 5 | Molina fee schedule · outpatient · +2 other terms | 13 | $1 | $1 | $0 | 14% | — | $1 – $1 |
| 6 | Ambetter case rate · outpatient · +2 other terms | 12 | $1 | $1 | $0 | 18% | — | $1 – $1 |
| 7 | Clover case rate · outpatient · +1 other terms | 12 | $0 | $1 | $0 | 8% | — | $0 – $1 |
| 8 | WellCare case rate · outpatient · +1 other terms | 12 | $0 | $1 | $0 | 9% | — | $0 – $1 |
| 9 | Medicare case rate · outpatient | 8 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 11 | Cigna fee schedule · outpatient · +2 other terms | 7 | $1 | $1 | $0 | 43% | — | $1 – $1 |
| 12 | Oscar fee schedule · outpatient · +1 other terms | 3 | $1 | $1 | — | — | — | $1 – $1 |
| 13 | Devoted facility · other · outpatient | 2 | $32 | $37 | $49 | 132% | — | $1 – $224 |
| 14 | Kaiser fee schedule · outpatient · +1 other terms | 2 | $1 | $1 | — | — | — | $1 – $1 |
| 15 | Bcbs Nj facility · other · outpatient | 1 | $99 | $99 | $131 | 132% | — | $3 – $560 |
| 16 | Highmark facility · other · outpatient | 1 | $62 | $62 | $102 | 166% | — | $1 – $560 |
| 17 | Optum fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Sanford Health Plan case rate · outpatient | 1 | $1 | $1 | $0 | 9% | — | $1 – $1 |
← Hospitals reporting APC 792 · Snapshot 20261111T120946Z-9134e7f7