APC 9105

Injection of pemetrexed (Teva)

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

Inj pemetrexed (teva) 10mg

Payers reporting APC 9105

Payer pricing summary

Low

Average

$15

Median

$14

High

$22

Payer rate distribution

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#
1	Excellus case rate · outpatient	4	$21	$22	$8	37%	254	$16 – $35
2	Highmark case rate · outpatient	5	$16	$21	$7	35%	3–30	$16 – $34
3	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$15	$14	$3	18%	—	$7 – $20
4	Humana fee schedule · outpatient · +3 other terms	161	$15	$15	$5	35%	—	$7 – $61
5	Aetna fee schedule · outpatient · +3 other terms	155	$15	$14	$3	20%	—	$7 – $20
6	WellCare fee schedule · outpatient · +2 other terms	131	$16	$14	$2	18%	—	$7 – $20
7	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$16	$14	$2	15%	—	$7 – $17
8	Devoted fee schedule · outpatient	122	$15	$14	$2	14%	—	$11 – $16
9	Cigna Healthspring fee schedule · outpatient	110	$16	$14	$2	17%	—	$11 – $16
10	Molina fee schedule · outpatient · +3 other terms	69	$18	$19	$10	50%	—	$7 – $40
11	Superior Healthplan fee schedule · outpatient	40	$16	$15	$2	13%	—	$12 – $16
12	Anthem fee schedule · outpatient · +1 other terms	31	$15	$14	$3	25%	—	$7 – $16
13	Oscar fee schedule · outpatient · +1 other terms	27	$15	$14	$2	15%	—	$11 – $16
14	Amerihealth Caritas fee schedule · outpatient	17	$18	$17	$2	13%	—	$13 – $18
15	Cigna fee schedule · outpatient · +1 other terms	15	$16	$12	$4	35%	—	$7 – $17
16	Clover fee schedule · outpatient · +1 other terms	15	$12	$13	$2	17%	—	$12 – $16
17	Kaiser fee schedule · outpatient · +1 other terms	15	$16	$15	$3	19%	—	$7 – $16
18	Ambetter case rate · outpatient · +2 other terms	12	$28	$22	$8	35%	—	$13 – $28
19	Medicare case rate · outpatient · +1 other terms	8	$16	$16	—	—	—	$16 – $16
20	Optum fee schedule · outpatient	8	$15	$19	$6	33%	—	$11 – $27
21	Tricare facility · fee schedule · outpatient	5	$16	$16	—	—	—	$16 – $16
22	Sanford Health Plan case rate · outpatient	3	$6	$6	$1	10%	—	$5 – $6
23	Aetna Better Health facility · case rate · outpatient	1	$12	$12	$4	32%	—	$8 – $16
24	Magellan fee schedule · outpatient	1	$15	$15	—	—	—	$15 – $15
25	Medicaid facility · case rate · outpatient	1	$8	$8	—	—	—	$8 – $8