APC 9439
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.
Original text from hospital filings
Inj, susvimo 0.1 mg
Low
$41
Average
$87
Median
$80
High
$136
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 174 | $77 | $77 | $2 | 2% | — | $75 – $84 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $76 | $79 | $22 | 27% | — | $72 – $305 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $77 | $79 | $11 | 14% | — | $74 – $141 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $79 | $79 | $3 | 3% | — | $76 – $101 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $78 | $78 | $4 | 5% | — | $75 – $121 |
| 6 | Devoted fee schedule · outpatient | 122 | $76 | $76 | $0 | 1% | — | $75 – $80 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $79 | $77 | $2 | 3% | — | $75 – $82 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $112 | $110 | $42 | 38% | — | $78 – $200 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $80 | $80 | $0 | 0% | — | $79 – $80 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $78 | $78 | $2 | 2% | — | $75 – $82 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $75 | $84 | $20 | 24% | — | $75 – $141 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $91 | $90 | $2 | 3% | — | $85 – $91 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $80 | $80 | $2 | 3% | — | $78 – $84 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $80 | $80 | $0 | 0% | — | $79 – $80 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $78 | $78 | $2 | 2% | — | $76 – $82 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $142 | $159 | $19 | 12% | — | $142 – $181 |
| 17 | Medicare case rate · outpatient · +1 other terms | 8 | $79 | $79 | — | — | — | $79 – $79 |
| 18 | Optum fee schedule · outpatient | 8 | $77 | $114 | $53 | 47% | — | $75 – $191 |
| 19 | Highmark case rate · outpatient | 5 | $79 | $107 | $38 | 35% | — | $79 – $173 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $79 | $79 | — | — | — | $79 – $79 |
| 21 | Excellus case rate · outpatient | 4 | $108 | $110 | $40 | 37% | — | $79 – $177 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $114 | $114 | $12 | 10% | — | $95 – $131 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $61 | $61 | $20 | 32% | — | $41 – $81 |
| 24 | Magellan fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $41 | $41 | — | — | — | $41 – $41 |
← Hospitals reporting APC 9439 · Snapshot 20261111T120946Z-9134e7f7