APC 05165
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 5 ENT Procedures
Low
$5.7k
Average
$8.4k
Median
$6.6k
High
$23.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
21 payers; the 90th percentile is 1.9× 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 | $5.9k | $6.0k | $129 | 2% | — | $4.3k – $6.3k |
| 2 | Caresource fee schedule · outpatient | 20 | $6.1k | $6.1k | $37 | 1% | — | $6.0k – $6.1k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 13 | $6.9k | $7.7k | $5.9k | 77% | — | $5.2k – $33.1k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $5.7k | $5.9k | $37 | 1% | — | $5.7k – $5.9k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 9 | $6.1k | $6.2k | $807 | 13% | — | $5.3k – $11.2k |
| 6 | Molina facility · fee schedule · outpatient · +1 other terms | 6 | $7.6k | $7.5k | $971 | 13% | — | $6.3k – $8.5k |
| 7 | Aetna fee schedule · outpatient · +3 other terms | 5 | $6.0k | $6.0k | $66 | 1% | — | $5.9k – $6.0k |
| 8 | Clover fee schedule · outpatient | 5 | $6.2k | $6.2k | $38 | 1% | — | $6.1k – $6.2k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $6.1k | $6.1k | $38 | 1% | — | $6.0k – $6.1k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $6.1k | $6.1k | $38 | 1% | — | $6.0k – $6.1k |
| 11 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $6.6k | $6.6k | $353 | 5% | — | $6.0k – $7.0k |
| 12 | Ambetter facility · fee schedule · outpatient | 3 | $11.4k | $11.4k | $387 | 3% | — | $7.5k – $11.4k |
| 13 | Carefirst facility · fee schedule · outpatient | 3 | $7.0k | $6.6k | $395 | 6% | — | $6.2k – $7.0k |
| 14 | Cigna facility · fee schedule · outpatient · +1 other terms | 3 | $18.4k | $18.4k | $6.6k | 36% | — | $6.4k – $24.1k |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $9.7k | $9.7k | $3.6k | 37% | — | $6.2k – $13.3k |
| 16 | Bcbs Ca facility · fee schedule · outpatient | 2 | $23.5k | $23.3k | $9.4k | 40% | — | $7.6k – $28.9k |
| 17 | Devoted facility · fee schedule · outpatient | 2 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 18 | MultiPlan facility · other · outpatient | 2 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 19 | Aetna Better Health facility · fee schedule · outpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 20 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 21 | Optum fee schedule · both | 1 | $7.4k | $7.4k | — | — | — | $7.4k – $7.4k |
← Hospitals reporting APC 05165 · Snapshot 20261111T120946Z-9134e7f7