APC 963

Albumin 5% solution, 250 mL

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

Albumin (human), 5%, 250 ml

Payers reporting APC 963

Payer pricing summary

Low

$53

Average

$623

Median

$61

High

$13.3k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +3 other terms	174	$54	$54	$1	1%	—	$53 – $56
2	Humana fee schedule · outpatient · +4 other terms	161	$53	$55	$15	27%	—	$51 – $212
3	Aetna fee schedule · outpatient · +3 other terms	155	$54	$55	$7	12%	—	$53 – $93
4	WellCare fee schedule · outpatient · +2 other terms	131	$55	$55	$2	3%	—	$53 – $70
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	125	$54	$54	$1	1%	—	$52 – $55
6	Devoted fee schedule · outpatient · +2 other terms	122	$53	$53	$0	0%	—	$53 – $56
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$55	$54	$2	3%	—	$53 – $57
8	Molina fee schedule · outpatient · +2 other terms	69	$78	$76	$29	38%	—	$53 – $139
9	Superior Healthplan fee schedule · outpatient	40	$56	$56	—	—	—	$56 – $56
10	Anthem fee schedule · outpatient · +3 other terms	31	$53	$54	$1	1%	—	$53 – $55
11	Oscar fee schedule · outpatient · +3 other terms	27	$52	$58	$13	22%	—	$52 – $93
12	Medicare facility · fee schedule · outpatient · +2 other terms	22	$53	$56	$23	41%	—	$53 – $265
13	Ambetter facility · fee schedule · outpatient · +2 other terms	18	$98	$231	$310	134%	—	$53 – $929
14	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$64	$63	$1	2%	—	$61 – $64
15	Cigna fee schedule · outpatient · +2 other terms	17	$54	$68	$29	42%	—	$53 – $134
16	Clover fee schedule · outpatient · +3 other terms	15	$56	$56	—	—	—	$56 – $56
17	Kaiser fee schedule · outpatient · +2 other terms	15	$54	$54	$0	0%	—	$53 – $54
18	Optum facility · per diem · outpatient · +3 other terms	12	$53	$53	—	—	—	$53 – $53
19	Medica facility · fee schedule · outpatient	5	$55	$55	$0	0%	—	$55 – $56
20	Highmark facility · other · outpatient · +2 other terms	4	$81	$78	$29	37%	—	$44 – $162
21	Bcbs Nj facility · other · outpatient	3	$53	$53	—	—	—	$53 – $53
22	Magellan facility · fee schedule · outpatient · +1 other terms	3	$56	$56	—	—	—	$56 – $56
23	Caresource facility · fee schedule · outpatient	2	$53	$53	—	—	—	$53 – $53
24	Excellus case rate · outpatient	2	$106	$106	$14	13%	—	$92 – $119
25	Bcbs Al facility · fee schedule · outpatient	1	$53	$53	—	—	—	$53 – $53

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