APC 864

Mitoxantrone hydrochloride medication

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

Mitoxantrone hydrochl

Payers reporting APC 864

Payer pricing summary

Low

$30

Average

$53

Median

$36

High

$315

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	175	$31	$35	$11	32%	—	$30 – $145
2	Humana fee schedule · outpatient · +4 other terms	161	$31	$34	$11	32%	—	$29 – $124
3	Aetna fee schedule · outpatient · +3 other terms	155	$31	$37	$15	41%	—	$29 – $106
4	WellCare fee schedule · outpatient · +2 other terms	131	$32	$35	$5	14%	—	$30 – $64
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	125	$31	$32	$6	17%	—	$24 – $62
6	Devoted fee schedule · outpatient · +1 other terms	122	$31	$32	$3	10%	—	$30 – $39
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$32	$32	$3	9%	—	$30 – $41
8	Molina fee schedule · outpatient · +2 other terms	69	$50	$50	$20	39%	—	$31 – $91
9	Superior Healthplan fee schedule · outpatient	40	$32	$34	$3	9%	—	$31 – $41
10	Anthem fee schedule · outpatient · +2 other terms	31	$31	$37	$12	33%	—	$30 – $62
11	Oscar fee schedule · outpatient · +2 other terms	27	$32	$41	$23	56%	—	$30 – $106
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$37	$36	$1	3%	—	$34 – $37
13	Cigna fee schedule · outpatient · +2 other terms	17	$33	$48	$18	38%	—	$31 – $88
14	Clover fee schedule · outpatient · +3 other terms	15	$41	$37	$4	11%	—	$31 – $41
15	Kaiser fee schedule · outpatient · +2 other terms	15	$31	$35	$10	29%	—	$31 – $62
16	Medicare facility · fee schedule · outpatient · +2 other terms	14	$31	$31	$2	5%	—	$30 – $39
17	Ambetter case rate · outpatient · +2 other terms	12	$43	$77	$41	53%	—	$43 – $125
18	Optum fee schedule · outpatient · +2 other terms	8	$31	$49	$29	58%	—	$24 – $97
19	Medica facility · fee schedule · outpatient	5	$32	$32	$0	0%	—	$32 – $32
20	Highmark facility · other · outpatient · +2 other terms	4	$48	$66	$66	100%	—	$31 – $367
21	Bcbs Nj facility · other · outpatient	3	$31	$31	—	—	—	$31 – $31
22	Excellus case rate · outpatient	2	$47	$47	$6	13%	—	$41 – $54
23	Bcbs Al facility · fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
24	Magellan fee schedule · outpatient	1	$31	$31	—	—	—	$31 – $31
25	Sanford Health Plan case rate · outpatient	1	$45	$45	$4	8%	—	$41 – $49