APC 840
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 melpha hydroch nos 50
Low
$87
Average
$174
Median
$102
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 2.3× 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 · +3 other terms | 175 | $88 | $96 | $16 | 17% | — | $87 – $140 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $87 | $98 | $27 | 28% | — | $86 – $348 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $89 | $102 | $28 | 28% | — | $87 – $234 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $90 | $105 | $16 | 15% | — | $87 – $140 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 125 | $89 | $97 | $13 | 13% | — | $85 – $136 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $87 | $95 | $14 | 15% | — | $87 – $121 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $93 | $98 | $12 | 12% | — | $87 – $129 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $134 | $143 | $53 | 37% | — | $89 – $264 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $91 | $99 | $14 | 14% | — | $91 – $127 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $90 | $98 | $19 | 19% | — | $87 – $136 |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $91 | $111 | $45 | 41% | — | $85 – $234 |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $104 | $107 | $6 | 5% | — | $104 – $120 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $94 | $127 | $74 | 58% | — | $89 – $399 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $127 | $111 | $17 | 15% | — | $91 – $127 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $89 | $95 | $16 | 17% | — | $87 – $136 |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $173 | $248 | $89 | 36% | — | $173 – $352 |
| 17 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $87 | $89 | $6 | 7% | — | $87 – $105 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $98 | $157 | $94 | 60% | — | $87 – $302 |
| 19 | Medica facility · fee schedule · outpatient | 5 | $90 | $91 | $0 | 0% | — | $90 – $91 |
| 20 | Highmark facility · other · outpatient · +2 other terms | 4 | $135 | $193 | $314 | 163% | — | $89 – $2.3k |
| 21 | Bcbs Nj facility · other · outpatient | 3 | $87 | $87 | — | — | — | $87 – $87 |
| 22 | Excellus case rate · outpatient | 2 | $191 | $191 | $25 | 13% | — | $166 – $215 |
| 23 | Magellan fee schedule · outpatient | 1 | $87 | $87 | — | — | — | $87 – $87 |
| 24 | Sanford Health Plan case rate · outpatient | 1 | $164 | $164 | $13 | 8% | — | $151 – $177 |
← Hospitals reporting APC 840 · Snapshot 20261111T120946Z-9134e7f7