APC 9055
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
Gallium locametz 1 millic
Low
$199
Average
$496
Median
$439
High
$1.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.8× 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 · +3 other terms | 174 | $366 | $409 | $145 | 35% | — | $361 – $917 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $363 | $401 | $148 | 37% | — | $348 – $1.4k |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $366 | $453 | $244 | 54% | — | $359 – $1.5k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $373 | $384 | $62 | 16% | — | $363 – $917 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $370 | $386 | $109 | 28% | — | $355 – $1.3k |
| 6 | Devoted fee schedule · outpatient | 122 | $363 | $363 | $1 | 0% | — | $363 – $381 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $377 | $369 | $10 | 3% | — | $363 – $392 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $576 | $584 | $244 | 42% | — | $370 – $1.3k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $381 | $381 | — | — | — | $381 – $381 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $370 | $474 | $208 | 44% | — | $363 – $891 |
| 11 | Oscar fee schedule · outpatient | 27 | $355 | $495 | $366 | 74% | — | $355 – $1.5k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $435 | $431 | $8 | 2% | — | $413 – $435 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $392 | $580 | $249 | 43% | — | $370 – $908 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $381 | $381 | — | — | — | $381 – $381 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $370 | $434 | $173 | 40% | — | $363 – $891 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $686 | $1.2k | $650 | 53% | — | $686 – $2.0k |
| 17 | Medicare case rate · outpatient | 8 | $381 | $381 | — | — | — | $381 – $381 |
| 18 | Optum fee schedule · outpatient | 8 | $367 | $546 | $255 | 47% | — | $363 – $906 |
| 19 | Highmark case rate · outpatient | 5 | $363 | $490 | $174 | 35% | — | $363 – $795 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $381 | $381 | — | — | — | $381 – $381 |
| 21 | Excellus case rate · outpatient | 4 | $495 | $506 | $185 | 37% | — | $363 – $814 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $1.3k | $1.3k | $129 | 10% | — | $1.1k – $1.5k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $294 | $294 | $95 | 32% | — | $199 – $389 |
| 24 | Magellan fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
← Hospitals reporting APC 9055 · Snapshot 20261111T120946Z-9134e7f7