APC 01905
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 51
Low
$118.3k
Average
$148.0k
Median
$153.0k
High
$168.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 1.4× 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 | $133.9k | $130.8k | $6.3k | 5% | — | $98.5k – $142.6k |
| 2 | Caresource fee schedule · outpatient | 15 | $138.0k | $138.0k | — | — | — | $138.0k – $138.0k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $129.3k | $129.3k | — | — | — | $129.3k – $129.3k |
| 4 | Medicare fee schedule · both | 2 | $124.5k | $118.3k | $43.0k | 36% | — | $81.0k – $168.0k |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $122.7k | $122.7k | $45.5k | 37% | — | $64.8k – $168.0k |
| 6 | Aetna fee schedule · both | 1 | $168.0k | $168.0k | — | — | — | $168.0k – $168.0k |
| 7 | Cigna fee schedule · both | 1 | $168.0k | $168.0k | — | — | — | $168.0k – $168.0k |
| 8 | Optum fee schedule · both | 1 | $168.0k | $168.0k | — | — | — | $168.0k – $168.0k |
| 9 | UnitedHealthcare fee schedule · both | 1 | $168.0k | $168.0k | — | — | — | $168.0k – $168.0k |
| 10 | WellCare fee schedule · both | 1 | $168.0k | $168.0k | — | — | — | $168.0k – $168.0k |
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