APC 05231
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 REMREPL ICD GEN ONLY DUAL LEAD
Low
$17.1k
Average
$35.1k
Median
$24.6k
High
$108.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 3.1× 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 | $70.3k | $70.3k | — | — | 1–10 | $70.3k – $70.3k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $22.1k | $22.3k | $791 | 4% | — | $16.3k – $23.6k |
| 3 | Caresource fee schedule · outpatient | 20 | $22.8k | $22.7k | $133 | 1% | — | $22.6k – $22.8k |
| 4 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $22.9k | $23.2k | $2.7k | 12% | — | $20.2k – $28.6k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 12 | $24.4k | $42.9k | $36.7k | 86% | — | $12.2k – $124.5k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $21.4k | $22.1k | $190 | 1% | — | $21.4k – $22.2k |
| 7 | Aetna facility · fee schedule · outpatient · +3 other terms | 10 | $21.7k | $23.0k | $2.4k | 10% | — | $20.5k – $30.7k |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $31.0k | $30.8k | $5.3k | 17% | — | $23.7k – $38.5k |
| 9 | Clover fee schedule · outpatient | 5 | $23.3k | $23.2k | $142 | 1% | — | $23.0k – $23.3k |
| 10 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $22.8k | $22.7k | $140 | 1% | — | $22.6k – $22.8k |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $22.8k | $22.7k | $140 | 1% | — | $22.6k – $22.8k |
| 12 | Ambetter facility · fee schedule · outpatient | 4 | $36.1k | $36.7k | $7.3k | 20% | — | $28.2k – $43.0k |
| 13 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $69.3k | $68.3k | $23.6k | 35% | — | $23.9k – $90.5k |
| 14 | Devoted facility · fee schedule · outpatient | 4 | $22.6k | $22.6k | $908 | 4% | — | $21.2k – $23.2k |
| 15 | Medica facility · fee schedule · outpatient | 3 | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 16 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $23.7k | $24.8k | $1.4k | 6% | — | $22.7k – $26.3k |
| 17 | Aetna Better Health facility · other · outpatient · +1 other terms | 2 | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $36.6k | $36.6k | $13.4k | 37% | — | $23.2k – $49.9k |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 2 | $21.8k | $21.7k | $177 | 1% | — | $21.6k – $22.0k |
| 20 | Carefirst facility · fee schedule · outpatient | 2 | $24.8k | $24.8k | $1.5k | 6% | — | $23.2k – $26.3k |
| 21 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $43.1k | $46.0k | $10.0k | 22% | — | $35k – $58.2k |
| 22 | Anthem facility · fee schedule · outpatient | 1 | $50.7k | $50.7k | $20.8k | 41% | — | $21.2k – $65.4k |
| 23 | Bcbs Ca facility · fee schedule · outpatient | 1 | $108.5k | $108.5k | — | — | — | $108.5k – $108.5k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $21.4k | $21.4k | — | — | — | $21.4k – $21.4k |
| 25 | Optum fee schedule · both | 1 | $27.8k | $27.8k | — | — | — | $27.8k – $27.8k |
← Hospitals reporting APC 05231 · Snapshot 20261111T120946Z-9134e7f7