APC 855
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 ustekinumab-stba, 1 mg
Low
$3
Average
$182
Median
$9
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 239.1× 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 · +1 other terms | 29 | $13 | $8 | $5 | 57% | — | $3 – $13 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 16 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 3 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 16 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 15 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 5 | WellCare fee schedule · outpatient · +1 other terms | 14 | $3 | $3 | $0 | 1% | — | $3 – $3 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 13 | $3 | $3 | — | — | — | $3 – $3 |
| 7 | Cigna Healthspring fee schedule · outpatient | 12 | $3 | $3 | $0 | 2% | — | $3 – $3 |
| 8 | Superior Healthplan fee schedule · outpatient | 9 | $3 | $3 | — | — | — | $3 – $3 |
| 9 | Medicare case rate · outpatient | 8 | $12 | $12 | $0 | 2% | — | $12 – $12 |
| 10 | Molina fee schedule · outpatient · +1 other terms | 8 | $3 | $3 | — | — | — | $3 – $3 |
| 11 | Ambetter case rate · outpatient | 7 | $21 | $21 | $0 | 1% | — | $21 – $21 |
| 12 | Clover case rate · outpatient · +2 other terms | 7 | $12 | $12 | $0 | 1% | — | $12 – $12 |
| 13 | Amerihealth Caritas fee schedule · outpatient | 3 | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Optum fee schedule · outpatient · +1 other terms | 3 | $8 | $8 | $4 | 50% | — | $3 – $13 |
| 15 | Anthem fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 16 | Bcbs Nj facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Highmark facility · other · outpatient | 1 | $684 | $684 | $410 | 60% | — | $274 – $1.1k |
| 18 | Oscar facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Sanford Health Plan case rate · outpatient | 1 | $4 | $4 | $0 | 8% | — | $3 – $4 |
← Hospitals reporting APC 855 · Snapshot 20261111T120946Z-9134e7f7