APC 913

Intravesical mitomycin (bladder instillation)

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

Mitomycin intravesical in

Payers reporting APC 913

Payer pricing summary

Low

$201

Average

$315

Median

$283

High

$566

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	153	$280	$280	$3	1%	—	$274 – $291
2	Humana fee schedule · outpatient · +1 other terms	148	$277	$288	$81	28%	—	$263 – $1.1k
3	Aetna fee schedule · outpatient · +1 other terms	135	$280	$280	$4	2%	—	$272 – $304
4	WellCare fee schedule · outpatient · +1 other terms	127	$285	$288	$10	3%	—	$277 – $365
5	Devoted fee schedule · outpatient	122	$277	$277	$1	0%	—	$274 – $291
6	Cigna Healthspring fee schedule · outpatient	110	$288	$281	$8	3%	—	$274 – $298
7	Blue Cross Blue Shield fee schedule · outpatient	105	$282	$280	$3	1%	—	$271 – $288
8	Molina fee schedule · outpatient	55	$408	$408	$158	39%	—	$282 – $725
9	Superior Healthplan fee schedule · outpatient	40	$291	$291	$1	0%	—	$288 – $292
10	Anthem fee schedule · outpatient	24	$277	$279	$4	1%	—	$274 – $285
11	Oscar fee schedule · outpatient	24	$273	$280	$9	3%	—	$271 – $291
12	Amerihealth Caritas fee schedule · outpatient	17	$332	$329	$7	2%	—	$313 – $332
13	Clover fee schedule · outpatient	15	$292	$291	$1	0%	—	$288 – $292
14	Kaiser fee schedule · outpatient	13	$282	$282	$1	1%	—	$277 – $282
15	Cigna fee schedule · outpatient · +1 other terms	9	$282	$288	$8	3%	—	$282 – $299
16	Optum fee schedule · outpatient	8	$277	$432	$202	47%	—	$274 – $696
17	Highmark case rate · outpatient	3	$285	$285	—	—	—	$285 – $285
18	Excellus case rate · outpatient	2	$566	$566	$73	13%	—	$493 – $639
19	Ambetter fee schedule · outpatient	1	$201	$201	$21	10%	—	$180 – $221
20	Magellan fee schedule · outpatient	1	$277	$277	—	—	—	$277 – $277