Coronary artery clot-dissolving drug infusion

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

THROMBOLYSIS INFUSION,FAC

Payers reporting CPT 92977

Payer pricing summary

Low

$103

Average

$840

Median

$606

High

$6.2k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +26 other terms	264	$333	$492	$819	167%	1–10	$1 – $8.3k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	414	$412	$1.6k	$3.3k	209%	—	$1 – $28.7k
3	Blue Cross Blue Shield fee schedule · outpatient · +29 other terms	269	$651	$1.1k	$2.2k	191%	—	$1 – $21.6k
4	Aetna fee schedule · outpatient · +27 other terms	266	$394	$1.2k	$2.5k	218%	—	$43 – $19.0k
5	Cigna case rate · outpatient · +26 other terms	174	$16.6k	$19.8k	$13.1k	66%	—	$313 – $64.8k
6	Oscar case rate · outpatient · +19 other terms	130	$2.5k	$2.6k	$846	32%	—	$519 – $7.5k
7	Anthem fee schedule · outpatient · +23 other terms	119	$367	$444	$734	165%	—	$55 – $6.3k
8	Molina fee schedule · outpatient · +25 other terms	111	$348	$417	$280	67%	—	$43 – $2.0k
9	MultiPlan fee schedule · outpatient · +19 other terms	103	$595	$942	$858	91%	—	$130 – $5.7k
10	WellCare fee schedule · outpatient · +19 other terms	97	$331	$537	$745	139%	—	$58 – $4.3k
11	Kaiser fee schedule · outpatient · +20 other terms	70	$448	$682	$803	118%	—	$47 – $4.3k
12	Tricare fee schedule · outpatient · +17 other terms	56	$337	$2.6k	$10.4k	397%	—	$132 – $50k
13	Optum fee schedule · outpatient · +17 other terms	40	$304	$314	$253	81%	—	$55 – $1.0k
14	Devoted fee schedule · outpatient · +12 other terms	38	$333	$236	$136	58%	—	$55 – $361
15	First Health fee schedule · outpatient · +17 other terms	35	$809	$982	$833	85%	—	$52 – $4.9k
16	Ambetter other · inpatient · +19 other terms	31	$521	$506	$84	17%	—	$406 – $633
17	Medica fee schedule · outpatient · +14 other terms	31	$342	$244	$190	78%	—	$34 – $912
18	Clover fee schedule · outpatient · +11 other terms	27	$370	$938	$1.3k	143%	—	$330 – $4.4k
19	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$924	$571	$334	58%	—	$100 – $999
20	Regence professional · fee schedule · outpatient · +12 other terms	26	$49	$87	$43	49%	—	$49 – $166
21	Medicare fee schedule · outpatient · +13 other terms	25	$55	$433	$1.1k	249%	—	$47 – $4.2k
22	Bcbs La fee schedule · outpatient · +2 other terms	23	$572	$564	$153	27%	—	$216 – $868
23	Aetna Better Health fee schedule · outpatient · +14 other terms	21	$302	$263	$154	59%	—	$38 – $526
24	Phcs fee schedule · outpatient · +15 other terms	21	$389	$641	$747	117%	—	$134 – $2.9k
25	Bcbs Tx fee schedule · outpatient · +4 other terms	20	$452	$469	$150	32%	—	$63 – $1.1k

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