APC 883

Ethacrynate sodium 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inj, ethacrynate sod, 1 m

Payers reporting APC 883

Payer pricing summary

Low

$13

Average

$18

Median

$15

High

$42

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	153	$13	$13	$2	12%	—	$12 – $19
2	Humana fee schedule · outpatient · +2 other terms	148	$13	$14	$4	29%	—	$12 – $52
3	Aetna fee schedule · outpatient · +3 other terms	135	$13	$13	$2	12%	—	$12 – $19
4	WellCare fee schedule · outpatient · +2 other terms	127	$13	$15	$3	17%	—	$13 – $19
5	Devoted fee schedule · outpatient · +1 other terms	122	$13	$14	$2	16%	—	$12 – $18
6	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	121	$13	$15	$3	21%	—	$12 – $21
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$13	$14	$2	14%	—	$12 – $20
8	Molina fee schedule · outpatient · +2 other terms	55	$19	$21	$9	43%	—	$13 – $40
9	Superior Healthplan fee schedule · outpatient	40	$14	$15	$2	15%	—	$13 – $19
10	Anthem fee schedule · outpatient	24	$13	$13	$0	2%	—	$12 – $13
11	Oscar fee schedule · outpatient · +2 other terms	24	$14	$14	$2	15%	—	$13 – $18
12	Amerihealth Caritas fee schedule · outpatient	17	$15	$15	$1	3%	—	$14 – $15
13	Clover fee schedule · outpatient · +2 other terms	15	$19	$17	$3	17%	—	$13 – $19
14	Kaiser fee schedule · outpatient	13	$13	$13	$0	1%	—	$13 – $13
15	Ambetter facility · fee schedule · outpatient · +2 other terms	12	$24	$22	$7	33%	—	$13 – $33
16	Cigna fee schedule · outpatient · +2 other terms	9	$13	$13	$0	3%	—	$13 – $14
17	Medicare facility · fee schedule · outpatient · +1 other terms	9	$13	$13	$2	12%	—	$10 – $18
18	Optum fee schedule · outpatient · +2 other terms	8	$15	$23	$13	58%	—	$12 – $46
19	Medica facility · fee schedule · outpatient	5	$13	$13	$0	1%	—	$13 – $14
20	Highmark case rate · outpatient	3	$32	$31	$11	34%	—	$21 – $46
21	Excellus case rate · outpatient	2	$42	$42	$5	13%	—	$36 – $47
22	Magellan facility · fee schedule · outpatient · +1 other terms	2	$14	$14	—	—	—	$14 – $14