APC 9003
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
Rsv mab im 50mg
Low
$376
Average
$910
Median
$516
High
$10.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 1.9× 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 · +5 other terms | 173 | $441 | $464 | $79 | 17% | — | $435 – $756 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 160 | $437 | $467 | $136 | 29% | — | $419 – $1.7k |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $441 | $495 | $159 | 32% | — | $432 – $1.3k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 130 | $450 | $457 | $33 | 7% | — | $437 – $756 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $445 | $482 | $99 | 20% | — | $340 – $734 |
| 6 | Devoted fee schedule · outpatient · +2 other terms | 122 | $437 | $437 | $1 | 0% | — | $437 – $459 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $454 | $445 | $12 | 3% | — | $437 – $472 |
| 8 | Molina fee schedule · outpatient · +4 other terms | 68 | $694 | $661 | $243 | 37% | — | $445 – $1.1k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $459 | $459 | — | — | — | $459 – $459 |
| 10 | Anthem fee schedule · outpatient · +3 other terms | 31 | $445 | $501 | $115 | 23% | — | $437 – $734 |
| 11 | Oscar fee schedule · outpatient · +3 other terms | 27 | $428 | $532 | $258 | 48% | — | $428 – $1.3k |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $524 | $519 | $10 | 2% | — | $498 – $524 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 17 | $472 | $761 | $458 | 60% | — | $445 – $1.8k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $459 | $459 | — | — | — | $459 – $459 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $445 | $481 | $96 | 20% | — | $437 – $734 |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $1.3k | $1.4k | $176 | 12% | — | $1.3k – $1.7k |
| 17 | Optum facility · per diem · outpatient · +2 other terms | 12 | $437 | $437 | — | — | — | $437 – $437 |
| 18 | Medicare facility · fee schedule · outpatient · +2 other terms | 11 | $437 | $437 | — | — | — | $437 – $437 |
| 19 | Highmark case rate · outpatient · +1 other terms | 5 | $437 | $591 | $209 | 35% | — | $437 – $958 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $720 | $720 | — | — | — | $720 – $720 |
| 21 | Excellus case rate · outpatient | 4 | $596 | $609 | $223 | 37% | — | $437 – $980 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $1.0k | $1.1k | $106 | 10% | — | $872 – $1.2k |
| 23 | Caresource facility · fee schedule · outpatient | 2 | $437 | $437 | — | — | — | $437 – $437 |
| 24 | Magellan facility · fee schedule · outpatient · +1 other terms | 2 | $459 | $459 | — | — | — | $459 – $459 |
| 25 | Medica facility · fee schedule · outpatient | 2 | $459 | $459 | — | — | — | $459 – $459 |
← Hospitals reporting APC 9003 · Snapshot 20261111T120946Z-9134e7f7