APC 01495
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
New Technology - Level 1
Low
$42
Average
$50
Median
$52
High
$56
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 1.3× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 81 | $44 | $43 | $2 | 5% | — | $33 – $47 |
| 2 | Caresource fee schedule · outpatient | 15 | $46 | $46 | — | — | — | $46 – $46 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $43 | $43 | — | — | — | $43 – $43 |
| 4 | Medicare fee schedule · both | 2 | $48 | $47 | $7 | 15% | — | $41 – $56 |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $48 | $48 | $8 | 18% | — | $33 – $56 |
| 6 | Aetna fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Cigna fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 8 | Optum fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 9 | UnitedHealthcare fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
| 10 | WellCare fee schedule · both | 1 | $56 | $56 | — | — | — | $56 – $56 |
← Hospitals reporting APC 01495 · Snapshot 20261111T120946Z-9134e7f7