APC 01522
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 22
Low
$2.2k
Average
$2.4k
Median
$2.4k
High
$2.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 1.2× 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 | 86 | $2.2k | $2.2k | $103 | 5% | — | $1.6k – $2.3k |
| 2 | Caresource fee schedule · outpatient | 20 | $2.3k | $2.3k | $7 | 0% | — | $2.2k – $2.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $2.1k | $2.2k | $39 | 2% | — | $2.1k – $2.2k |
| 4 | Aetna fee schedule · outpatient · +2 other terms | 5 | $2.2k | $2.2k | $24 | 1% | — | $2.2k – $2.2k |
| 5 | Clover fee schedule · outpatient | 5 | $2.3k | $2.3k | $14 | 1% | — | $2.3k – $2.3k |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $2.3k | $2.3k | $14 | 1% | — | $2.2k – $2.3k |
| 7 | Medicare fee schedule · outpatient · +2 other terms | 5 | $2.2k | $2.2k | $13 | 1% | — | $2.2k – $2.2k |
| 8 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 5 | $2.2k | $2.2k | $13 | 1% | — | $2.2k – $2.2k |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $2.3k | $2.3k | $14 | 1% | — | $2.2k – $2.3k |
| 10 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $2.5k | $2.5k | $146 | 6% | — | $2.3k – $2.6k |
| 11 | Carefirst facility · fee schedule · outpatient | 3 | $2.6k | $2.5k | $139 | 6% | — | $2.3k – $2.6k |
| 12 | Cigna fee schedule · both | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | Medica facility · fee schedule · outpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Optum fee schedule · both | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
← Hospitals reporting APC 01522 · Snapshot 20261111T120946Z-9134e7f7