APC 09294
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
ELELYSO 200 UNIT/5MLVIAL
Duluth, GA
See all hospitals reporting APC 09294 →Price type
Northside Hospital, Inc.’s median price of $207 is 413% above the median hospital's median price ($40), higher than 96% of the 133 hospitals reporting APC 09294. 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 | $205 | $205 | — | — | — | $205 – $205 |
| 2 | Clover clover health fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 3 | Medicare medicare fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 4 | UnitedHealthcare uhc medicare fee schedule · outpatient | $205 | $205 | — | — | — | $205 – $205 |
| 5 | Aetna aetna medicare fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 6 | Humana humana medicare advantage hmo fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 7 | Caresource caresource medicare advantage fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 8 | Kaiser kaiser medicare advantage fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 9 | WellCare wellcare medicare advantage fee schedule · outpatient | $211 | $211 | — | — | — | $211 – $211 |
| 10 | Humana humana medicare advantage ppo fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
Last updated: Feb 14, 2026
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