APC 02646
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
HC BRACHY SRC HDR IR192 PER SRC
Low
$207
Average
$444
Median
$366
High
$1.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
19 payers; the 90th percentile is 2.1× 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 | Medical Mutual facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $347 | $347 | $13 | 4% | — | $268 – $366 |
| 3 | Caresource fee schedule · outpatient | 20 | $357 | $359 | $2 | 1% | — | $357 – $362 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 11 | $357 | $354 | $3 | 1% | — | $352 – $357 |
| 5 | Aetna fee schedule · outpatient · +2 other terms | 5 | $359 | $357 | $2 | 0% | — | $355 – $359 |
| 6 | Clover fee schedule · outpatient | 5 | $369 | $369 | — | — | — | $369 – $369 |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $362 | $362 | — | — | — | $362 – $362 |
| 8 | Medicare fee schedule · outpatient · +2 other terms | 5 | $352 | $352 | — | — | — | $352 – $352 |
| 9 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 5 | $352 | $352 | — | — | — | $352 – $352 |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $362 | $362 | — | — | — | $362 – $362 |
| 11 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $357 | $357 | — | — | — | $357 – $357 |
| 12 | Carefirst facility · fee schedule · outpatient | 2 | $357 | $357 | — | — | — | $357 – $357 |
| 13 | Aetna Better Health facility · other · outpatient | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 14 | Anthem facility · fee schedule · outpatient | 1 | $782 | $782 | $304 | 39% | — | $352 – $997 |
| 15 | Bcbs Mi facility · fee schedule · outpatient | 1 | $357 | $357 | — | — | — | $357 – $357 |
| 16 | Cigna fee schedule · both | 1 | $437 | $437 | — | — | — | $437 – $437 |
| 17 | Devoted facility · fee schedule · outpatient | 1 | $352 | $352 | — | — | — | $352 – $352 |
| 18 | Medica facility · fee schedule · outpatient | 1 | $366 | $366 | — | — | — | $366 – $366 |
| 19 | Optum fee schedule · both | 1 | $437 | $437 | — | — | — | $437 – $437 |
← Hospitals reporting APC 02646 · Snapshot 20261111T120946Z-9134e7f7