APC 01903
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 50
Low
$110.5k
Average
$132.8k
Median
$136.3k
High
$149.7k
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 | $119.3k | $116.5k | $5.6k | 5% | — | $87.7k – $127.0k |
| 2 | Caresource fee schedule · outpatient | 15 | $123.0k | $123.0k | — | — | — | $123.0k – $123.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $115.2k | $115.2k | — | — | — | $115.2k – $115.2k |
| 4 | Medicare fee schedule · both | 2 | $115.4k | $110.5k | $34.0k | 31% | — | $81.0k – $149.7k |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $113.6k | $113.6k | $36.4k | 32% | — | $64.8k – $149.7k |
| 6 | Aetna fee schedule · both | 1 | $149.7k | $149.7k | — | — | — | $149.7k – $149.7k |
| 7 | Cigna fee schedule · both | 1 | $149.7k | $149.7k | — | — | — | $149.7k – $149.7k |
| 8 | Optum fee schedule · both | 1 | $149.7k | $149.7k | — | — | — | $149.7k – $149.7k |
| 9 | UnitedHealthcare fee schedule · both | 1 | $149.7k | $149.7k | — | — | — | $149.7k – $149.7k |
| 10 | WellCare fee schedule · both | 1 | $149.7k | $149.7k | — | — | — | $149.7k – $149.7k |
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