APC 903
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
Cytomegalovirus imm IV /v
Low
$1.8k
Average
$2.2k
Median
$1.9k
High
$3.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 1.6× 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 · +2 other terms | 174 | $1.8k | $1.8k | $27 | 1% | — | $1.8k – $1.9k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 161 | $1.8k | $1.9k | $515 | 27% | — | $1.8k – $7.2k |
| 3 | Aetna fee schedule · outpatient · +2 other terms | 155 | $1.8k | $1.9k | $229 | 12% | — | $1.8k – $3.2k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $1.9k | $1.9k | $73 | 4% | — | $1.8k – $2.4k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 125 | $1.8k | $1.8k | $24 | 1% | — | $1.8k – $1.9k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $1.8k | $1.8k | $14 | 1% | — | $1.8k – $1.9k |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $1.9k | $1.9k | $50 | 3% | — | $1.8k – $2.0k |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $2.7k | $2.6k | $988 | 38% | — | $1.8k – $4.7k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $1.9k | $1.9k | $11 | 1% | — | $1.9k – $2.0k |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $1.8k | $1.8k | $24 | 1% | — | $1.8k – $1.9k |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $1.8k | $2.0k | $428 | 22% | — | $1.8k – $3.2k |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $2.2k | $2.2k | $19 | 1% | — | $2.1k – $2.2k |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $1.8k | $1.9k | $103 | 5% | — | $1.8k – $2.2k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $1.9k | $1.9k | $13 | 1% | — | $1.9k – $2.0k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $1.8k | $1.8k | $9 | 0% | — | $1.8k – $1.9k |
| 16 | Ambetter case rate · outpatient · +1 other terms | 12 | $3.3k | $3.6k | $449 | 12% | — | $3.3k – $4.2k |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $1.8k | $2.7k | $1.3k | 47% | — | $1.8k – $4.6k |
| 19 | Highmark case rate · outpatient · +2 other terms | 3 | $2.8k | $2.7k | $906 | 34% | — | $1.8k – $4.0k |
| 20 | Excellus case rate · outpatient | 2 | $3.6k | $3.6k | $465 | 13% | — | $3.1k – $4.1k |
| 21 | Bcbs Nj facility · other · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 22 | Magellan fee schedule · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 23 | Sanford Health Plan case rate · outpatient | 1 | $2.7k | $2.7k | $223 | 8% | — | $2.5k – $3.0k |
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