APC 9104
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
Antithymocyte globuln rabbit
Low
$950
Average
$1.0k
Median
$1.0k
High
$2.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 1.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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33 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Centennial Hills Las Vegas, NV fee schedule · outpatient | 1 | $950 | $950 | — | — | — | $950 – $950 |
| 4 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 2 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 5 | Corona Regional Medical Center Corona, CA fee schedule · outpatient | 1 | $969 | $969 | — | — | — | $969 – $969 |
| 6 | HCA HEALTHONE AURORA Aurora, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | HCA HEALTHONE NORTHEAST ER THORNTON, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | HCA HEALTHONE ROSE Denver, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | HCA HEALTHONE SKY RIDGE Lone Tree, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | HCA HEALTHONE SOUTH PARKER ER PARKER, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | HCA HEALTHONE SOUTHWEST ER LITTLETON, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | HCA HEALTHONE SPALDING REHABILITATION AURORA, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 17 | HCA HEALTHONE SWEDISH Englewood, CO fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 18 | Henderson Hospital Henderson, NV fee schedule · outpatient | 1 | $950 | $950 | — | — | — | $950 – $950 |
| 19 | LEWISGALE HOSPITAL ALLEGHANY LOW MOOR, VA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | LEWISGALE HOSPITAL MONTGOMERY BLACKSBURG, VA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | LEWISGALE HOSPITAL PULASKI PULASKI, VA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | LEWISGALE MEDICAL CENTER ROANOKE, VA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 23 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA fee schedule · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 24 | Palmdale Regional Medical Center Palmdale, CA case rate · outpatient | 2 | $960 | $960 | $10 | 1% | — | $950 – $969 |
| 25 | RESTON HOSPITAL CENTER Reston, VA fee schedule · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
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