APC 05112
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
CLTX SHO DSLC W/MNPJ W/ANES
Low
$1.5k
Average
$2.9k
Median
$2.4k
High
$7.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.6× 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 | $1.6k | $2.6k | $1.3k | 49% | — | $1.2k – $4.5k |
| 2 | Caresource fee schedule · outpatient · +1 other terms | 20 | $1.6k | $3.2k | $1.3k | 41% | — | $1.6k – $4.4k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 17 | $1.9k | $2.9k | $2.2k | 76% | — | $881 – $9.0k |
| 4 | Aetna facility · fee schedule · outpatient · +3 other terms | 13 | $1.6k | $2.0k | $663 | 34% | — | $1.4k – $6.4k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $1.7k | $2.1k | $921 | 45% | — | $1.4k – $4.5k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $1.5k | $2.7k | $1.3k | 47% | — | $1.5k – $4.3k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $2.1k | $2.3k | $815 | 35% | — | $1.7k – $5.6k |
| 8 | Clover fee schedule · outpatient | 5 | $4.3k | $3.3k | $1.4k | 41% | — | $1.7k – $4.5k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $1.7k | $2.7k | $1.3k | 48% | — | $1.6k – $4.4k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $1.7k | $2.7k | $1.3k | 48% | — | $1.6k – $4.4k |
| 11 | Ambetter facility · fee schedule · outpatient | 4 | $2.6k | $4.1k | $2.4k | 60% | — | $2.0k – $8.5k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $5.1k | $5.0k | $1.7k | 33% | — | $1.7k – $6.5k |
| 13 | Devoted facility · fee schedule · outpatient | 4 | $1.6k | $2.3k | $1.2k | 53% | — | $1.5k – $4.6k |
| 14 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $1.9k | $1.9k | $447 | 24% | — | $1.6k – $6.3k |
| 15 | Aetna Better Health facility · other · outpatient · +1 other terms | 3 | $951 | $951 | — | — | — | $951 – $951 |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $2.6k | $4.0k | $2.7k | 67% | — | $1.6k – $9.9k |
| 17 | Carefirst facility · fee schedule · outpatient | 3 | $1.9k | $1.9k | $440 | 24% | — | $1.7k – $6.2k |
| 18 | Medica facility · fee schedule · outpatient | 3 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $2.7k | $3.9k | $6.1k | 157% | — | $1.7k – $35k |
| 20 | Anthem facility · fee schedule · outpatient | 2 | $3.9k | $3.8k | $1.6k | 43% | — | $1.5k – $5.5k |
| 21 | Bcbs Ca facility · fee schedule · outpatient | 2 | $7.2k | $7.1k | $4.5k | 63% | — | $2.1k – $20.7k |
| 22 | Bcbs Mi facility · fee schedule · outpatient | 2 | $1.6k | $1.6k | $22 | 1% | — | $1.5k – $1.6k |
| 23 | Medical Mutual facility · other · outpatient | 2 | $5.6k | $5.3k | $409 | 8% | — | $5.1k – $6.0k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $1.5k | $1.5k | $113 | 7% | — | $1.4k – $1.6k |
← Hospitals reporting APC 05112 · Snapshot 20261111T120946Z-9134e7f7