APC 816

Tislelizumab injection

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

Inj, tislelizumab-jsgr

Payers reporting APC 816

Payer pricing summary

Low

$57

Average

$131

Median

$94

High

$531

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	173	$59	$98	$136	138%	—	$58 – $579
2	Humana fee schedule · outpatient · +1 other terms	160	$58	$82	$102	124%	—	$56 – $568
3	Aetna fee schedule · outpatient · +1 other terms	155	$59	$136	$208	154%	—	$58 – $965
4	WellCare fee schedule · outpatient · +1 other terms	130	$60	$66	$51	78%	—	$58 – $579
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$59	$67	$64	96%	—	$57 – $563
6	Devoted fee schedule · outpatient	122	$58	$58	$0	0%	—	$58 – $61
7	Cigna Healthspring fee schedule · outpatient	110	$61	$59	$2	3%	—	$58 – $63
8	Molina fee schedule · outpatient · +1 other terms	68	$93	$143	$171	119%	—	$60 – $827
9	Superior Healthplan fee schedule · outpatient	40	$61	$61	$0	0%	—	$61 – $61
10	Anthem fee schedule · outpatient · +1 other terms	31	$60	$164	$202	123%	—	$58 – $563
11	Oscar fee schedule · outpatient	27	$57	$160	$285	178%	—	$57 – $965
12	Amerihealth Caritas fee schedule · outpatient	17	$70	$69	$1	2%	—	$66 – $70
13	Cigna fee schedule · outpatient · +1 other terms	15	$63	$260	$244	94%	—	$60 – $574
14	Clover fee schedule · outpatient · +1 other terms	15	$61	$61	$0	0%	—	$61 – $61
15	Kaiser fee schedule · outpatient · +1 other terms	15	$60	$122	$166	136%	—	$58 – $563
16	Ambetter case rate · outpatient · +1 other terms	12	$103	$588	$573	98%	—	$103 – $1.3k
17	Medicare case rate · outpatient · +1 other terms	8	$57	$57	—	—	—	$57 – $57
18	Optum fee schedule · outpatient	8	$58	$87	$41	47%	—	$57 – $146
19	Highmark case rate · outpatient	3	$57	$57	—	—	—	$57 – $57
20	Excellus case rate · outpatient	2	$114	$114	$15	13%	—	$99 – $129
21	Magellan fee schedule · outpatient	1	$58	$58	—	—	—	$58 – $58
22	Sanford Health Plan case rate · outpatient	1	$87	$87	$7	8%	—	$80 – $94