APC 947

Flebogamma intravenous immune globulin injection

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Flebogamma injection

Payers reporting APC 947

Payer pricing summary

Low

$49

Average

$165

Median

$91

High

$1.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	55	$93	$76	$22	29%	—	$45 – $93
2	Aetna fee schedule · outpatient · +2 other terms	50	$91	$76	$21	28%	—	$45 – $93
3	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	45	$91	$78	$18	23%	—	$45 – $93
4	Molina fee schedule · outpatient · +2 other terms	37	$99	$105	$44	41%	—	$45 – $199
5	Humana fee schedule · outpatient · +3 other terms	36	$91	$84	$17	20%	—	$45 – $94
6	WellCare fee schedule · outpatient · +2 other terms	36	$93	$93	$8	9%	—	$45 – $96
7	Devoted fee schedule · outpatient · +1 other terms	27	$91	$91	—	—	—	$91 – $91
8	Cigna Healthspring fee schedule · outpatient · +1 other terms	19	$91	$91	$1	2%	—	$91 – $98
9	Superior Healthplan fee schedule · outpatient	15	$95	$95	—	—	—	$95 – $95
10	Ambetter case rate · outpatient · +2 other terms	12	$100	$112	$14	12%	—	$100 – $129
11	Clover case rate · outpatient · +2 other terms	12	$58	$60	$3	4%	—	$58 – $63
12	Oscar fee schedule · outpatient · +1 other terms	9	$89	$85	$5	6%	—	$78 – $89
13	Anthem fee schedule · outpatient · +1 other terms	8	$45	$50	$15	30%	—	$45 – $91
14	Cigna fee schedule · outpatient · +1 other terms	8	$45	$55	$22	40%	—	$45 – $112
15	Medicare case rate · outpatient · +2 other terms	8	$56	$56	—	—	—	$56 – $56
16	Optum fee schedule · outpatient · +1 other terms	5	$227	$165	$76	46%	—	$56 – $227
17	Amerihealth Caritas fee schedule · outpatient · +1 other terms	3	$103	$103	—	—	—	$103 – $103
18	Kaiser fee schedule · outpatient · +2 other terms	2	$45	$45	—	—	—	$45 – $45
19	Bcbs Nj facility · other · outpatient	1	$91	$91	—	—	—	$91 – $91
20	Highmark facility · fee schedule · outpatient · +1 other terms	1	$90	$90	—	—	—	$90 – $90
21	Sanford Health Plan case rate · outpatient	1	$85	$85	$7	8%	—	$78 – $91