APC 01417
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
Gel-one
Low
$502
Average
$525
Median
$528
High
$549
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
6 payers; the 90th percentile is 1.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 81 | $512 | $510 | $18 | 4% | — | $396 – $528 |
| 2 | Caresource fee schedule · outpatient | 15 | $528 | $528 | — | — | — | $528 – $528 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $528 | $528 | — | — | — | $528 – $528 |
| 4 | Aetna facility · fee schedule · outpatient | 1 | $502 | $502 | — | — | — | $502 – $502 |
| 5 | Medica facility · fee schedule · outpatient | 1 | $549 | $549 | — | — | — | $549 – $549 |
| 6 | Medicare facility · fee schedule · outpatient | 1 | $528 | $528 | — | — | — | $528 – $528 |
← Hospitals reporting APC 01417 · Snapshot 20261111T120946Z-9134e7f7