APC 871

Pemetrexed 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 pemetrexed (bluepoint

Payers reporting APC 871

Payer pricing summary

Low

$11

Average

$13

Median

$11

High

$21

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$11	$11	$0	1%	—	$11 – $11
2	Humana fee schedule · outpatient · +1 other terms	148	$11	$11	$3	28%	—	$10 – $42
3	Aetna fee schedule · outpatient · +1 other terms	135	$11	$11	$0	1%	—	$10 – $12
4	WellCare fee schedule · outpatient · +1 other terms	127	$11	$11	$0	3%	—	$11 – $14
5	Devoted fee schedule · outpatient	122	$11	$11	$0	0%	—	$11 – $11
6	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	121	$11	$11	$0	1%	—	$10 – $11
7	Cigna Healthspring fee schedule · outpatient	110	$11	$11	$0	3%	—	$11 – $11
8	Molina fee schedule · outpatient · +1 other terms	55	$16	$16	$6	39%	—	$11 – $28
9	Superior Healthplan fee schedule · outpatient	40	$11	$11	—	—	—	$11 – $11
10	Anthem fee schedule · outpatient	24	$11	$11	$0	1%	—	$11 – $11
11	Oscar fee schedule · outpatient	24	$10	$11	$0	3%	—	$10 – $11
12	Amerihealth Caritas fee schedule · outpatient	17	$13	$13	$0	2%	—	$12 – $13
13	Clover fee schedule · outpatient · +1 other terms	15	$11	$11	—	—	—	$11 – $11
14	Kaiser fee schedule · outpatient	13	$11	$11	$0	1%	—	$11 – $11
15	Cigna fee schedule · outpatient · +1 other terms	9	$11	$11	$0	3%	—	$11 – $11
16	Medicare case rate · outpatient	8	$11	$11	—	—	—	$11 – $11
17	Optum fee schedule · outpatient	8	$11	$16	$8	47%	—	$11 – $27
18	Ambetter case rate · outpatient · +1 other terms	7	$19	$19	—	—	—	$19 – $19
19	Highmark case rate · outpatient	3	$16	$16	$5	34%	—	$11 – $23
20	Excellus case rate · outpatient	2	$21	$21	$3	13%	—	$18 – $24
21	Magellan fee schedule · outpatient	1	$11	$11	—	—	—	$11 – $11