APC 05222
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 INS SINGLE TV ELECTRODEPPMAICD
Low
$6.6k
Average
$12.5k
Median
$9.4k
High
$34.4k
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 | Medical Mutual facility · other · outpatient | 1 | $26.2k | $26.2k | — | — | 2–20 | $26.2k – $26.2k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $8.2k | $8.4k | $256 | 3% | — | $6.1k – $8.8k |
| 3 | Caresource fee schedule · outpatient | 20 | $8.5k | $8.5k | $50 | 1% | — | $8.4k – $8.5k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $9.4k | $14.6k | $12.6k | 86% | — | $4.5k – $46.3k |
| 5 | Aetna facility · fee schedule · outpatient · +3 other terms | 12 | $8.2k | $8.9k | $2.6k | 29% | — | $7.6k – $25.6k |
| 6 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $8.5k | $8.7k | $1.0k | 12% | — | $7.5k – $10.6k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $8.0k | $8.2k | $63 | 1% | — | $8.0k – $8.3k |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $11.2k | $11.2k | $1.6k | 14% | — | $8.8k – $13.6k |
| 9 | Clover fee schedule · outpatient | 5 | $8.7k | $8.6k | $53 | 1% | — | $8.6k – $8.7k |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $8.5k | $8.5k | $52 | 1% | — | $8.4k – $8.5k |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $8.5k | $8.5k | $52 | 1% | — | $8.4k – $8.5k |
| 12 | Ambetter facility · fee schedule · outpatient | 4 | $13.4k | $13.5k | $2.7k | 20% | — | $10.5k – $16.0k |
| 13 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $25.8k | $24.9k | $9.0k | 36% | — | $8.9k – $33.7k |
| 14 | Devoted facility · fee schedule · outpatient | 4 | $8.4k | $8.4k | $317 | 4% | — | $7.9k – $8.6k |
| 15 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $9.3k | $9.3k | $504 | 5% | — | $8.5k – $9.8k |
| 16 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $13.6k | $13.4k | $5.0k | 37% | — | $8.2k – $18.6k |
| 17 | Carefirst facility · fee schedule · outpatient | 3 | $9.8k | $9.2k | $553 | 6% | — | $8.7k – $9.8k |
| 18 | Medica facility · fee schedule · outpatient | 3 | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 19 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $13.9k | $18.4k | $9.6k | 52% | — | $7.0k – $35k |
| 20 | Aetna Better Health facility · other · outpatient · +1 other terms | 2 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 21 | Anthem facility · fee schedule · outpatient | 2 | $24.9k | $19.5k | $8.0k | 41% | — | $7.9k – $31.2k |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 2 | $32.9k | $34.4k | $11.9k | 35% | — | $10.6k – $40.4k |
| 23 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 2 | $8.1k | $8.1k | $83 | 1% | — | $8.0k – $8.2k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $8.0k | $8.0k | — | — | — | $8.0k – $8.0k |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $7.9k | $7.9k | $576 | 7% | — | $7.2k – $8.5k |
← Hospitals reporting APC 05222 · Snapshot 20261111T120946Z-9134e7f7