APC 715

Pegunigalsidase alfa infusion at Texas Orthopedic Hospital

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

Pegunigalsidase alfa-iwxj

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Texas Orthopedic Hospital’s median price of $235 is about the same as the median hospital's median price ($233), higher than 56% of the 205 hospitals reporting APC 715. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 715 at Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Oscar mgmcr fee schedule · outpatient	$219	$219	—	—	—	$219 – $219
2	Cigna Healthspring mcrhmo fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
3	Cigna Healthspring mcrppo fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
4	Cigna Healthspring mcrsnp fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
5	Cigna Healthspring mmp fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
6	Cigna Healthspring pffs fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
7	Devoted mgmcr fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
8	Humana medicareadvantagehmo fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
9	Humana medicareadvantageppopffs fee schedule · outpatient	$223	$223	—	—	—	$223 – $223
10	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
11	Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
12	UnitedHealthcare mcr fee schedule · outpatient	$228	$228	—	—	—	$228 – $228
13	WellCare mcrhmo fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
14	WellCare pffs fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
15	WellCare pos fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
16	WellCare ppo fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
17	WellCare snp fee schedule · outpatient	$230	$230	—	—	—	$230 – $230
18	Superior Healthplan dualeligible fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
19	Superior Healthplan mcrhmo fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
20	Superior Healthplan mcrpos fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
21	Superior Healthplan mcrppo fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
22	Superior Healthplan mcrsnp fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
23	Superior Healthplan pffs fee schedule · outpatient	$235	$235	—	—	—	$235 – $235
24	Molina mgmcr fee schedule · outpatient	$244	$244	—	—	—	$244 – $244
25	Molina hix fee schedule · outpatient	$489	$489	—	—	—	$489 – $489

Last updated: May 14, 2026

Compare to other hospitals

See Pegunigalsidase alfa infusion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.