APC 01567
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 30
Low
$5.8k
Average
$6.9k
Median
$7.1k
High
$7.6k
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 | $6.1k | $5.9k | $286 | 5% | — | $4.5k – $6.5k |
| 2 | Caresource fee schedule · outpatient | 15 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 4 | Medicare fee schedule · both | 2 | $6.7k | $6.5k | $968 | 15% | — | $5.7k – $7.6k |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $6.5k | $6.5k | $1.2k | 18% | — | $4.5k – $7.6k |
| 6 | Aetna fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 7 | Cigna fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 8 | Optum fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 9 | UnitedHealthcare fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
| 10 | WellCare fee schedule · both | 1 | $7.6k | $7.6k | — | — | — | $7.6k – $7.6k |
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