APC 930

Pembrolizumab medication, 1 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

Pembrolizumab 1mg berahyal

Payers reporting APC 930

Payer pricing summary

Low

$32

Average

$38

Median

$32

High

$69

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +1 other terms	34	$33	$33	$0	1%	—	$32 – $33
2	WellCare fee schedule · outpatient · +1 other terms	32	$33	$33	$0	1%	—	$33 – $34
3	Aetna fee schedule · outpatient · +1 other terms	30	$32	$32	$0	1%	—	$32 – $33
4	Devoted fee schedule · outpatient	27	$32	$32	$0	0%	—	$32 – $32
5	Blue Cross Blue Shield fee schedule · outpatient · +1 other terms	24	$32	$32	$0	1%	—	$32 – $33
6	Humana fee schedule · outpatient	23	$32	$32	$0	1%	—	$31 – $33
7	Molina fee schedule · outpatient · +1 other terms	23	$51	$44	$12	26%	—	$35 – $70
8	Cigna Healthspring fee schedule · outpatient	19	$32	$32	$1	2%	—	$32 – $35
9	Superior Healthplan fee schedule · outpatient	15	$34	$34	$0	0%	—	$34 – $34
10	Clover fee schedule · outpatient	9	$34	$34	$0	0%	—	$34 – $34
11	Oscar fee schedule · outpatient · +1 other terms	6	$31	$31	—	—	—	$31 – $31
12	Optum fee schedule · outpatient	4	$80	$68	$21	31%	—	$32 – $80
13	Amerihealth Caritas fee schedule · outpatient	3	$36	$36	—	—	—	$36 – $36
14	Medicare facility · fee schedule · outpatient	3	$32	$32	—	—	—	$32 – $32
15	Ambetter facility · fee schedule · outpatient	1	$69	$69	—	—	—	$69 – $69
16	Anthem fee schedule · outpatient	1	$32	$32	—	—	—	$32 – $32