APC 05224
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
TCAT INSJ/RPL PERM LDLS PM
Low
$17.3k
Average
$29.9k
Median
$21.2k
High
$93.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 2.8× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual facility · other · outpatient | 1 | $60.9k | $60.9k | — | — | 1–10 | $60.9k – $60.9k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $19.2k | $19.4k | $663 | 3% | — | $14.1k – $20.4k |
| 3 | Caresource fee schedule · outpatient | 20 | $19.8k | $19.7k | $116 | 1% | — | $19.5k – $19.8k |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 13 | $22.3k | $44.4k | $34.4k | 77% | — | $10.5k – $107.9k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $19.8k | $20.0k | $2.3k | 12% | — | $17.5k – $24.8k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $18.5k | $19.1k | $160 | 1% | — | $18.5k – $19.2k |
| 7 | Aetna facility · fee schedule · outpatient · +3 other terms | 9 | $18.8k | $20.3k | $2.3k | 11% | — | $17.8k – $26.6k |
| 8 | Molina facility · fee schedule · outpatient | 7 | $25.8k | $25.8k | $3.4k | 13% | — | $20.5k – $31.1k |
| 9 | Clover fee schedule · outpatient | 5 | $20.2k | $20.1k | $123 | 1% | — | $19.9k – $20.2k |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $19.8k | $19.7k | $121 | 1% | — | $19.5k – $19.8k |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $19.8k | $19.7k | $121 | 1% | — | $19.5k – $19.8k |
| 12 | Ambetter facility · fee schedule · outpatient | 4 | $31.3k | $31.2k | $6.3k | 20% | — | $24.4k – $37.2k |
| 13 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $59.8k | $55.2k | $21.6k | 39% | — | $20.7k – $78.4k |
| 14 | Devoted facility · fee schedule · outpatient | 4 | $19.5k | $19.2k | $834 | 4% | — | $18.4k – $20.1k |
| 15 | Medica facility · fee schedule · outpatient | 3 | $20.6k | $20.6k | — | — | — | $20.6k – $20.6k |
| 16 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $20.5k | $21.5k | $1.2k | 5% | — | $19.7k – $22.8k |
| 17 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $31.7k | $31.7k | $11.6k | 37% | — | $20.1k – $43.2k |
| 18 | Carefirst facility · fee schedule · outpatient | 2 | $21.4k | $21.4k | $1.3k | 6% | — | $20.1k – $22.8k |
| 19 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $36.0k | $36.0k | $5.0k | 14% | — | $32.3k – $44.5k |
| 20 | Aetna Better Health facility · fee schedule · outpatient · +1 other terms | 1 | $21.7k | $21.7k | — | — | — | $21.7k – $21.7k |
| 21 | Anthem facility · fee schedule · outpatient | 1 | $43.2k | $43.2k | $17.5k | 41% | — | $18.4k – $55.6k |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 1 | $93.9k | $93.9k | — | — | — | $93.9k – $93.9k |
| 23 | Bcbs Mi facility · fee schedule · outpatient | 1 | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $18.5k | $18.5k | — | — | — | $18.5k – $18.5k |
| 25 | Optum fee schedule · both | 1 | $24.0k | $24.0k | — | — | — | $24.0k – $24.0k |
← Hospitals reporting APC 05224 · Snapshot 20261111T120946Z-9134e7f7