APC 817
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, adalimumab, 1 mg
Low
$92
Average
$2.3k
Median
$129
High
$12.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 payers; the 90th percentile is 72.1× 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 · +2 other terms | 21 | $92 | $92 | $1 | 1% | — | $92 – $94 |
| 2 | Aetna fee schedule · outpatient · +1 other terms | 20 | $94 | $109 | $28 | 26% | — | $92 – $161 |
| 3 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 20 | $94 | $94 | $2 | 2% | — | $92 – $96 |
| 4 | Humana case rate · outpatient · +2 other terms | 14 | $95 | $97 | $4 | 4% | — | $92 – $103 |
| 5 | Molina fee schedule · outpatient · +1 other terms | 13 | $94 | $103 | $15 | 15% | — | $92 – $138 |
| 6 | Ambetter case rate · outpatient · +1 other terms | 12 | $165 | $184 | $22 | 12% | — | $165 – $211 |
| 7 | Clover case rate · outpatient · +1 other terms | 12 | $95 | $99 | $4 | 4% | — | $95 – $103 |
| 8 | WellCare case rate · outpatient · +1 other terms | 12 | $98 | $102 | $5 | 5% | — | $98 – $108 |
| 9 | Medicare case rate · outpatient | 8 | $92 | $92 | — | — | — | $92 – $92 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 7 | $92 | $92 | $1 | 1% | — | $92 – $94 |
| 11 | Cigna fee schedule · outpatient · +1 other terms | 6 | $92 | $93 | $2 | 2% | — | $92 – $95 |
| 12 | Oscar fee schedule · outpatient · +1 other terms | 3 | $161 | $161 | $0 | 0% | — | $161 – $161 |
| 13 | Kaiser fee schedule · outpatient · +1 other terms | 2 | $94 | $94 | — | — | — | $94 – $94 |
| 14 | Bcbs Nj facility · other · outpatient | 1 | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 15 | Devoted facility · other · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 16 | Highmark facility · other · outpatient | 1 | $7.8k | $7.8k | $4.7k | 60% | — | $3.1k – $12.5k |
| 17 | Optum fee schedule · outpatient · +1 other terms | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 18 | Sanford Health Plan case rate · outpatient | 1 | $139 | $139 | $11 | 8% | — | $128 – $150 |
← Hospitals reporting APC 817 · Snapshot 20261111T120946Z-9134e7f7