APC 05101
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
UNNA BOOT
Low
$126
Average
$893
Median
$723
High
$2.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 10.4× 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 | Medical Mutual facility · other · outpatient | 2 | $561 | $535 | $40 | 7% | 3–30 | $514 – $609 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $162 | $1.5k | $1.8k | 119% | — | $119 – $4.3k |
| 3 | Caresource fee schedule · outpatient · +1 other terms | 20 | $167 | $1.7k | $1.9k | 109% | — | $165 – $4.3k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $363 | $566 | $913 | 161% | — | $89 – $5.2k |
| 5 | Aetna facility · fee schedule · outpatient · +4 other terms | 14 | $160 | $397 | $1000 | 252% | — | $150 – $5.7k |
| 6 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $173 | $351 | $807 | 230% | — | $148 – $4.3k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $156 | $1.7k | $1.8k | 104% | — | $156 – $4.1k |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 8 | $489 | $713 | $1.3k | 185% | — | $151 – $5.4k |
| 9 | Anthem facility · fee schedule · outpatient | 5 | $565 | $445 | $200 | 45% | — | $151 – $772 |
| 10 | Clover fee schedule · outpatient | 5 | $1.9k | $1.9k | $1.9k | 102% | — | $168 – $4.3k |
| 11 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $1.8k | $1.8k | $1.8k | 102% | — | $165 – $4.3k |
| 12 | WellCare fee schedule · outpatient · +2 other terms | 5 | $1.8k | $1.8k | $1.8k | 102% | — | $165 – $4.3k |
| 13 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $96 | $96 | — | — | — | $96 – $96 |
| 14 | Ambetter facility · fee schedule · outpatient | 4 | $1.4k | $1.5k | $2.6k | 175% | — | $206 – $8.1k |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $535 | $1.2k | $1.5k | 125% | — | $175 – $4.5k |
| 16 | Devoted facility · fee schedule · outpatient | 4 | $934 | $1.1k | $1.7k | 155% | — | $155 – $4.4k |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $188 | $189 | $23 | 12% | — | $166 – $288 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $285 | $1.5k | $2.8k | 188% | — | $161 – $9.5k |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $160 | $159 | $2 | 2% | — | $156 – $164 |
| 20 | Carefirst facility · fee schedule · outpatient | 3 | $195 | $189 | $24 | 12% | — | $170 – $288 |
| 21 | Medica facility · fee schedule · outpatient | 3 | $174 | $174 | — | — | — | $174 – $174 |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 2 | $2.4k | $2.4k | $4.7k | 199% | — | $208 – $19.8k |
| 23 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $272 | $272 | — | — | — | $272 – $272 |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $160 | $160 | $16 | 10% | — | $156 – $235 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $163 | $163 | $30 | 19% | — | $137 – $249 |
← Hospitals reporting APC 05101 · Snapshot 20261111T120946Z-9134e7f7