APC 9241

Sirolimus protein-bound injection, part 1

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 sirolimus prot part 1 mg

Payers reporting APC 9241

Payer pricing summary

Low

$44

Average

$321

Median

$95

High

$3.8k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +4 other terms	174	$88	$91	$9	10%	—	$87 – $123
2	Humana fee schedule · outpatient · +4 other terms	161	$87	$93	$25	27%	—	$86 – $348
3	Aetna fee schedule · outpatient · +4 other terms	155	$88	$95	$21	22%	—	$87 – $206
4	WellCare fee schedule · outpatient · +2 other terms	131	$90	$92	$5	6%	—	$87 – $123
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$89	$89	$8	9%	—	$85 – $171
6	Devoted fee schedule · outpatient · +1 other terms	122	$87	$87	$1	1%	—	$87 – $91
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$91	$90	$3	3%	—	$87 – $98
8	Molina fee schedule · outpatient · +2 other terms	69	$128	$129	$47	36%	—	$89 – $228
9	Superior Healthplan fee schedule · outpatient	40	$91	$92	$1	1%	—	$91 – $96
10	Anthem fee schedule · outpatient · +2 other terms	31	$90	$94	$12	13%	—	$87 – $120
11	Oscar fee schedule · outpatient · +1 other terms	27	$85	$101	$37	37%	—	$85 – $206
12	Amerihealth Caritas fee schedule · outpatient	17	$105	$104	$0	0%	—	$104 – $105
13	Cigna fee schedule · outpatient · +2 other terms	15	$94	$102	$14	14%	—	$89 – $122
14	Clover fee schedule · outpatient · +2 other terms	15	$91	$92	$1	1%	—	$91 – $96
15	Kaiser fee schedule · outpatient · +2 other terms	15	$89	$93	$10	11%	—	$87 – $120
16	Ambetter case rate · outpatient · +3 other terms	12	$152	$198	$54	27%	—	$152 – $262
17	Medicare case rate · outpatient · +1 other terms	8	$85	$85	—	—	—	$85 – $85
18	Optum fee schedule · outpatient · +1 other terms	8	$89	$132	$63	48%	—	$85 – $228
19	Highmark case rate · outpatient · +1 other terms	5	$85	$114	$41	35%	—	$85 – $185
20	Tricare facility · fee schedule · outpatient	5	$85	$85	—	—	—	$85 – $85
21	Excellus case rate · outpatient	4	$115	$118	$43	37%	—	$85 – $190
22	Bcbs Nj facility · other · outpatient	3	$87	$87	—	—	—	$87 – $87
23	Sanford Health Plan case rate · outpatient	3	$122	$123	$13	10%	—	$102 – $141
24	Aetna Better Health facility · case rate · outpatient	1	$65	$65	$21	32%	—	$44 – $86
25	Magellan fee schedule · outpatient	1	$87	$87	—	—	—	$87 – $87

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