APC 9119

Pedmark (sodium thiosulfate) injection, 100 mg

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, pedmark, 100 mg

Payers reporting APC 9119

Payer pricing summary

Low

$50

Average

$490

Median

$101

High

$9.6k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$97	$97	$1	1%	—	$95 – $101
2	Humana fee schedule · outpatient · +3 other terms	161	$96	$100	$27	27%	—	$93 – $384
3	Aetna fee schedule · outpatient · +4 other terms	155	$97	$99	$12	12%	—	$96 – $168
4	WellCare fee schedule · outpatient · +2 other terms	131	$99	$100	$4	4%	—	$96 – $127
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	126	$98	$97	$4	4%	—	$94 – $144
6	Devoted fee schedule · outpatient · +1 other terms	122	$96	$96	$0	0%	—	$95 – $101
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$100	$98	$3	3%	—	$95 – $105
8	Molina fee schedule · outpatient · +2 other terms	69	$141	$138	$53	38%	—	$96 – $252
9	Superior Healthplan fee schedule · outpatient	40	$101	$101	$0	0%	—	$100 – $102
10	Anthem fee schedule · outpatient · +1 other terms	31	$96	$97	$1	1%	—	$96 – $99
11	Oscar fee schedule · outpatient · +1 other terms	27	$94	$105	$23	22%	—	$94 – $168
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$115	$114	$2	2%	—	$110 – $115
13	Cigna fee schedule · outpatient · +2 other terms	15	$98	$99	$3	3%	—	$96 – $104
14	Clover fee schedule · outpatient · +1 other terms	15	$100	$101	$0	0%	—	$100 – $102
15	Kaiser fee schedule · outpatient · +1 other terms	15	$98	$98	$0	0%	—	$96 – $98
16	Ambetter case rate · outpatient · +2 other terms	12	$171	$192	$24	13%	—	$171 – $221
17	Medicare case rate · outpatient · +1 other terms	8	$95	$95	—	—	—	$95 – $95
18	Optum fee schedule · outpatient	8	$96	$144	$68	47%	—	$95 – $242
19	Highmark case rate · outpatient · +1 other terms	5	$95	$95	—	—	—	$95 – $95
20	Tricare facility · fee schedule · outpatient	5	$95	$95	—	—	—	$95 – $95
21	Excellus case rate · outpatient	4	$130	$133	$49	37%	—	$95 – $213
22	Sanford Health Plan case rate · outpatient	3	$138	$139	$14	10%	—	$115 – $159
23	Aetna Better Health facility · case rate · outpatient	1	$73	$73	$24	32%	—	$50 – $97
24	First Health facility · fee schedule · outpatient	1	$9.6k	$9.6k	—	—	—	$9.6k – $9.6k
25	Magellan fee schedule · outpatient	1	$96	$96	—	—	—	$96 – $96

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