APC 9428

Romidepsin injection, non-lyophilized

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 romidepsin non-lyo 0.

Payers reporting APC 9428

Payer pricing summary

Low

$15

Average

$195

Median

$31

High

$4.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$29	$29	$1	5%	—	$28 – $34
2	Humana fee schedule · outpatient · +4 other terms	161	$29	$31	$8	27%	—	$28 – $114
3	Aetna fee schedule · outpatient · +3 other terms	155	$29	$30	$4	13%	—	$29 – $50
4	WellCare fee schedule · outpatient · +2 other terms	131	$29	$31	$3	8%	—	$29 – $38
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	126	$29	$30	$2	8%	—	$28 – $51
6	Devoted fee schedule · outpatient · +1 other terms	122	$29	$29	$1	5%	—	$29 – $34
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$30	$30	$2	7%	—	$29 – $36
8	Molina fee schedule · outpatient · +2 other terms	69	$42	$42	$15	37%	—	$29 – $75
9	Superior Healthplan fee schedule · outpatient	40	$30	$30	$1	4%	—	$30 – $35
10	Anthem fee schedule · outpatient · +1 other terms	31	$29	$29	$1	3%	—	$29 – $34
11	Oscar fee schedule · outpatient · +1 other terms	27	$28	$31	$7	22%	—	$28 – $50
12	Amerihealth Caritas fee schedule · outpatient	17	$34	$35	$2	4%	—	$34 – $38
13	Cigna fee schedule · outpatient · +1 other terms	16	$29	$30	$4	13%	—	$29 – $46
14	Clover fee schedule · outpatient · +2 other terms	15	$30	$30	$1	4%	—	$30 – $35
15	Kaiser fee schedule · outpatient · +2 other terms	15	$29	$29	$0	0%	—	$29 – $29
16	Ambetter case rate · outpatient · +2 other terms	12	$51	$62	$13	21%	—	$51 – $78
17	Medicare case rate · outpatient · +2 other terms	8	$29	$29	—	—	—	$29 – $29
18	Optum fee schedule · outpatient · +1 other terms	8	$31	$45	$22	49%	—	$29 – $84
19	Highmark case rate · outpatient · +1 other terms	5	$29	$39	$14	35%	—	$29 – $63
20	Tricare facility · fee schedule · outpatient	5	$29	$29	—	—	—	$29 – $29
21	Excellus case rate · outpatient	4	$39	$40	$15	37%	—	$29 – $64
22	Sanford Health Plan case rate · outpatient	3	$41	$42	$4	10%	—	$35 – $48
23	Aetna Better Health facility · case rate · outpatient	1	$22	$22	$7	32%	—	$15 – $29
24	Bcbs Nj facility · other · outpatient	1	$29	$29	—	—	—	$29 – $29
25	Magellan fee schedule · outpatient	1	$29	$29	—	—	—	$29 – $29

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