APC 00877
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
ORTHOVISC 15MG/1ML (2ML) SYRG
Duluth, GA
See all hospitals reporting APC 00877 →Price type
Northside Hospital, Inc.’s median price of $225 is 106% above the median hospital's median price ($109), higher than 96% of the 140 hospitals reporting APC 00877. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 10 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bcbs medicare advantage-p fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 2 | Clover clover health fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 3 | Medicare medicare fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 4 | UnitedHealthcare uhc medicare fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 5 | Aetna aetna medicare fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 6 | Humana humana medicare advantage hmo fee schedule · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 7 | Caresource caresource medicare advantage fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 8 | Kaiser kaiser medicare advantage fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 9 | WellCare wellcare medicare advantage fee schedule · outpatient | $229 | $229 | — | — | — | $229 – $229 |
| 10 | Humana humana medicare advantage ppo fee schedule · outpatient | $231 | $231 | — | — | — | $231 – $231 |
Last updated: Feb 14, 2026
See Orthovisc joint injection, per dose pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.