APC 05194
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 PRQ TCAT PLMT NTRAC ST 2 OR MORE LES
Low
$14.0k
Average
$27.2k
Median
$20.8k
High
$67.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.7× 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 | $63.3k | $59.0k | $3.2k | 5% | 4–40 | $57.9k – $68.7k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $18.2k | $18.6k | $461 | 2% | — | $13.4k – $19.4k |
| 3 | Caresource fee schedule · outpatient · +1 other terms | 20 | $18.8k | $18.7k | $113 | 1% | — | $18.6k – $18.8k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $21.4k | $35.4k | $28.8k | 81% | — | $10.0k – $102.6k |
| 5 | Aetna facility · fee schedule · outpatient · +3 other terms | 13 | $17.9k | $22.5k | $11.0k | 49% | — | $16.9k – $56.8k |
| 6 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $18.9k | $19.2k | $2.3k | 12% | — | $16.6k – $23.6k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $17.6k | $18.2k | $120 | 1% | — | $17.6k – $18.3k |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $23.4k | $23.3k | $3.3k | 14% | — | $19.5k – $26.8k |
| 9 | Clover fee schedule · outpatient | 5 | $19.2k | $19.1k | $117 | 1% | — | $19.0k – $19.2k |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $18.8k | $18.7k | $115 | 1% | — | $18.6k – $18.8k |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $18.8k | $18.7k | $115 | 1% | — | $18.6k – $18.8k |
| 12 | Ambetter facility · fee schedule · outpatient | 4 | $29.8k | $33.6k | $4.3k | 13% | — | $23.2k – $35.4k |
| 13 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $56.8k | $56.7k | $20.2k | 36% | — | $19.7k – $74.6k |
| 14 | Devoted facility · fee schedule · outpatient | 4 | $18.6k | $18.9k | $600 | 3% | — | $17.5k – $19.1k |
| 15 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $20.6k | $20.9k | $1.0k | 5% | — | $18.7k – $21.7k |
| 16 | Aetna Better Health facility · other · outpatient · +1 other terms | 3 | $10.8k | $10.8k | — | — | — | $10.8k – $10.8k |
| 17 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $30.2k | $29.3k | $11.0k | 38% | — | $18.2k – $41.2k |
| 18 | Anthem facility · fee schedule · outpatient | 3 | $47.2k | $45.8k | $18.5k | 40% | — | $17.5k – $67.6k |
| 19 | Carefirst facility · fee schedule · outpatient | 3 | $21.7k | $20.8k | $1.2k | 6% | — | $19.2k – $21.7k |
| 20 | Medica facility · fee schedule · outpatient | 3 | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 21 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $26.3k | $27.6k | $10.0k | 36% | — | $4.3k – $42.7k |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 2 | $72.9k | $67.4k | $31.1k | 46% | — | $23.5k – $89.4k |
| 23 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 2 | $18.0k | $17.9k | $156 | 1% | — | $17.8k – $18.1k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $17.7k | $17.7k | — | — | — | $17.7k – $17.7k |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $17.2k | $17.2k | $1.4k | 8% | — | $15.6k – $18.7k |
← Hospitals reporting APC 05194 · Snapshot 20261111T120946Z-9134e7f7