APC 01576
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 39
Low
$16.6k
Average
$18.6k
Median
$18.0k
High
$21.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 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 · +1 other terms | 86 | $17.0k | $16.7k | $800 | 5% | — | $12.5k – $18.1k |
| 2 | Caresource fee schedule · outpatient | 20 | $17.6k | $17.6k | $59 | 0% | — | $17.4k – $17.6k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $16.5k | $16.8k | $289 | 2% | — | $16.5k – $17.1k |
| 4 | Aetna fee schedule · outpatient · +1 other terms | 5 | $17.4k | $17.3k | $189 | 1% | — | $17.0k – $17.4k |
| 5 | Clover fee schedule · outpatient | 5 | $17.9k | $17.8k | $110 | 1% | — | $17.7k – $17.9k |
| 6 | Kaiser fee schedule · outpatient | 5 | $17.6k | $17.5k | $107 | 1% | — | $17.4k – $17.6k |
| 7 | Medicare fee schedule · outpatient · +1 other terms | 5 | $17.1k | $17.0k | $104 | 1% | — | $16.9k – $17.1k |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $17.1k | $17.0k | $104 | 1% | — | $16.9k – $17.1k |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $17.6k | $17.5k | $107 | 1% | — | $17.4k – $17.6k |
| 10 | Tricare fee schedule · both · +1 other terms | 2 | $18.3k | $18.3k | $3.2k | 18% | — | $12.7k – $21.4k |
| 11 | Cigna fee schedule · both | 1 | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 12 | Optum fee schedule · both | 1 | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
← Hospitals reporting APC 01576 · Snapshot 20261111T120946Z-9134e7f7