APC 05094
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
Level 4 Breast/Lymphatic
Low
$13.4k
Average
$19.6k
Median
$15.4k
High
$42.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
18 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 | Humana fee schedule · outpatient · +2 other terms | 86 | $13.7k | $13.5k | $644 | 5% | — | $10.1k – $14.6k |
| 2 | Caresource fee schedule · outpatient | 20 | $14.1k | $14.1k | $46 | 0% | — | $14.0k – $14.2k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $13.2k | $13.5k | $236 | 2% | — | $13.2k – $13.8k |
| 4 | Medicare facility · fee schedule · outpatient · +2 other terms | 7 | $14.1k | $14.2k | $1.9k | 13% | — | $12.3k – $17.2k |
| 5 | Aetna fee schedule · outpatient · +3 other terms | 5 | $14.0k | $13.9k | $152 | 1% | — | $13.7k – $14.0k |
| 6 | Clover fee schedule · outpatient | 5 | $14.4k | $14.4k | $88 | 1% | — | $14.3k – $14.4k |
| 7 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $14.2k | $14.1k | $86 | 1% | — | $14.0k – $14.2k |
| 8 | Molina facility · fee schedule · outpatient | 5 | $18.0k | $19.3k | $4.5k | 23% | — | $14.7k – $24.9k |
| 9 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 5 | $13.8k | $13.7k | $84 | 1% | — | $13.6k – $13.8k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $14.2k | $14.1k | $86 | 1% | — | $14.0k – $14.2k |
| 11 | Ambetter facility · fee schedule · outpatient | 2 | $26.6k | $26.6k | — | — | — | $26.6k – $26.6k |
| 12 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $22.7k | $22.7k | $8.3k | 37% | — | $14.4k – $30.9k |
| 13 | Cigna facility · fee schedule · outpatient · +1 other terms | 2 | $45.0k | $45.0k | $15.4k | 34% | — | $14.8k – $56.1k |
| 14 | Devoted facility · fee schedule · outpatient | 2 | $14.4k | $14.4k | — | — | — | $14.4k – $14.4k |
| 15 | Tricare fee schedule · both · +1 other terms | 2 | $16.2k | $16.2k | $1.4k | 9% | — | $12.7k – $17.2k |
| 16 | Bcbs Ca facility · fee schedule · outpatient | 1 | $42.4k | $42.4k | $24.8k | 58% | — | $17.6k – $67.2k |
| 17 | MultiPlan facility · other · outpatient | 1 | $23.1k | $23.1k | — | — | — | $23.1k – $23.1k |
| 18 | Optum fee schedule · both | 1 | $17.2k | $17.2k | — | — | — | $17.2k – $17.2k |
← Hospitals reporting APC 05094 · Snapshot 20261111T120946Z-9134e7f7