APC N907

Charge not billable to Medicare contractor

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

Not Billable to FI

Payers reporting APC N907

Payer pricing summary

Low

$14

Average

$557

Median

$420

High

$2.2k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare facility · other · outpatient · +2 other terms	27	$228	$529	$971	184%	458–683	$24 – $5.5k
2	Blue Cross Blue Shield other · outpatient · +3 other terms	21	$364	$691	$496	72%	456–762	$4 – $1.3k
3	Cigna other · outpatient · +3 other terms	14	$528	$713	$793	111%	97–214	$6 – $3.3k
4	Molina facility · other · outpatient · +1 other terms	12	$156	$196	$110	56%	84–210	$85 – $407
5	Aetna other · outpatient · +3 other terms	14	$723	$833	$660	79%	39–174	$208 – $2.8k
6	Caresource facility · other · outpatient · +1 other terms	4	$126	$106	$62	59%	17–44	$2 – $169
7	Humana other · outpatient · +2 other terms	3	$126	$148	$43	29%	15–42	$118 – $222
8	First Health other · outpatient · +1 other terms	4	$225	$2.7k	$4.3k	162%	4–40	$62 – $10.1k
9	Excellus facility · other · outpatient	2	$62	$83	$42	50%	4–40	$21 – $137
10	Ambetter facility · other · outpatient · +1 other terms	2	$184	$184	$45	24%	2–20	$139 – $228
11	Kaiser other · outpatient	2	$488	$488	—	—	2–20	$488 – $488
12	WellCare facility · other · outpatient	2	$263	$263	$10	4%	2–20	$252 – $273
13	Amerihealth Caritas other · outpatient · +1 other terms	1	$3.5k	$3.5k	—	—	1–10	$3.5k – $3.5k
14	Medicaid other · outpatient	1	$14	$14	—	—	1–10	$14 – $14
15	Medical Mutual facility · other · outpatient	1	$352	$352	—	—	1–10	$352 – $352
16	Phcs facility · other · outpatient	1	$958	$958	—	—	1–10	$958 – $958
17	Tricare other · outpatient · +1 other terms	1	$590	$590	—	—	1–10	$590 – $590
18	Ucare facility · other · outpatient	1	$48	$48	—	—	1–10	$48 – $48