APC 9038

Injection of conjugated estrogens

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

ESTROGENS CONJUGATED 25 MG 5 ML VIAL

Payers reporting APC 9038

Payer pricing summary

Low

$205

Average

$493

Median

$410

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +5 other terms	174	$396	$396	$6	1%	—	$372 – $411
2	Humana fee schedule · outpatient · +5 other terms	161	$392	$409	$112	27%	—	$372 – $1.6k
3	Aetna fee schedule · outpatient · +4 other terms	155	$396	$405	$47	12%	—	$372 – $670
4	WellCare fee schedule · outpatient · +2 other terms	131	$404	$409	$16	4%	—	$383 – $517
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$400	$398	$15	4%	—	$384 – $576
6	Devoted fee schedule · outpatient · +2 other terms	122	$392	$393	$3	1%	—	$392 – $411
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$407	$402	$11	3%	—	$392 – $434
8	Molina fee schedule · outpatient · +4 other terms	69	$577	$562	$215	38%	—	$383 – $1.0k
9	Superior Healthplan fee schedule · outpatient	40	$411	$412	$2	1%	—	$411 – $422
10	Anthem fee schedule · outpatient · +2 other terms	31	$392	$394	$7	2%	—	$383 – $404
11	Oscar fee schedule · outpatient · +2 other terms	27	$384	$426	$87	20%	—	$384 – $670
12	Medicare facility · fee schedule · outpatient · +2 other terms	19	$392	$395	$5	1%	—	$392 – $402
13	Ambetter facility · fee schedule · outpatient · +3 other terms	17	$725	$1.1k	$2.6k	227%	—	$392 – $14.1k
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$470	$468	$5	1%	—	$458 – $470
15	Cigna fee schedule · outpatient · +2 other terms	17	$400	$467	$178	38%	—	$383 – $966
16	Clover fee schedule · outpatient · +3 other terms	15	$411	$412	$3	1%	—	$411 – $422
17	Kaiser fee schedule · outpatient · +2 other terms	15	$400	$398	$3	1%	—	$391 – $400
18	Optum facility · per diem · outpatient · +3 other terms	10	$392	$392	—	—	—	$392 – $392
19	Highmark case rate · outpatient · +2 other terms	5	$392	$530	$188	35%	—	$392 – $860
20	Medica facility · fee schedule · outpatient	5	$407	$409	$2	0%	—	$407 – $411
21	Tricare facility · fee schedule · outpatient	5	$392	$392	—	—	—	$392 – $392
22	Excellus case rate · outpatient	4	$535	$547	$200	37%	—	$392 – $880
23	Bcbs Nj facility · other · outpatient	3	$392	$392	—	—	—	$392 – $392
24	Magellan facility · fee schedule · outpatient · +1 other terms	3	$411	$411	—	—	—	$411 – $411
25	Sanford Health Plan case rate · outpatient	3	$566	$570	$58	10%	—	$473 – $652

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