APC 01510
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 10
Low
$790
Average
$1.8k
Median
$1.3k
High
$5.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 4.3× 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 · +2 other terms | 81 | $828 | $809 | $39 | 5% | — | $609 – $882 |
| 2 | Caresource fee schedule · outpatient | 15 | $854 | $854 | — | — | — | $854 – $854 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $800 | $800 | — | — | — | $800 – $800 |
| 4 | Medicare facility · fee schedule · outpatient · +1 other terms | 3 | $855 | $2.0k | $1.7k | 85% | — | $757 – $4.4k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 3 | $962 | $2.1k | $1.7k | 80% | — | $869 – $4.5k |
| 6 | Ambetter facility · fee schedule · outpatient | 2 | $5.0k | $5.0k | $3.3k | 68% | — | $1.6k – $8.3k |
| 7 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $4.2k | $4.2k | $3.4k | 81% | — | $869 – $9.6k |
| 8 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $2.7k | $2.7k | $1.8k | 68% | — | $851 – $4.6k |
| 9 | Devoted facility · fee schedule · outpatient | 2 | $2.7k | $2.7k | $1.8k | 68% | — | $869 – $4.5k |
| 10 | Molina facility · fee schedule · outpatient | 2 | $2.1k | $2.1k | $1.5k | 70% | — | $887 – $4.6k |
| 11 | Tricare fee schedule · both · +1 other terms | 2 | $889 | $889 | $157 | 18% | — | $618 – $1.0k |
| 12 | WellCare facility · fee schedule · outpatient · +1 other terms | 2 | $2.6k | $2.6k | $1.8k | 67% | — | $855 – $4.4k |
| 13 | Aetna fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Optum fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
← Hospitals reporting APC 01510 · Snapshot 20261111T120946Z-9134e7f7