APC 05311
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
DIAGNOSTIC COLONOSCOPY
Low
$793
Average
$2.8k
Median
$2.7k
High
$8.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 4.9× 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 | $925 | $2.9k | $1.5k | 53% | — | $680 – $4.4k |
| 2 | Caresource fee schedule · outpatient | 20 | $954 | $3.2k | $1.5k | 45% | — | $945 – $4.4k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $1.2k | $2.3k | $1.8k | 78% | — | $821 – $9.9k |
| 4 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $958 | $1.5k | $1.2k | 79% | — | $825 – $4.4k |
| 5 | Aetna facility · fee schedule · outpatient · +3 other terms | 12 | $1.0k | $2.1k | $1.8k | 87% | — | $821 – $10.0k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $894 | $3.4k | $1.1k | 34% | — | $894 – $4.2k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 7 | $1.2k | $1.8k | $1.4k | 74% | — | $991 – $5.5k |
| 8 | Clover fee schedule · outpatient | 5 | $4.2k | $3.5k | $1.3k | 38% | — | $964 – $4.4k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $3.9k | $3.4k | $1.3k | 38% | — | $945 – $4.4k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $3.9k | $3.4k | $1.3k | 38% | — | $945 – $4.4k |
| 11 | Ambetter facility · fee schedule · outpatient | 4 | $3.5k | $4.9k | $2.9k | 58% | — | $1.2k – $8.3k |
| 12 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $2.9k | $3.2k | $981 | 31% | — | $967 – $4.6k |
| 13 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $1.1k | $1.2k | $1.2k | 100% | — | $950 – $9.9k |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $1.5k | $4.1k | $3.3k | 80% | — | $924 – $9.7k |
| 15 | Carefirst facility · fee schedule · outpatient | 3 | $1.1k | $1.2k | $1.2k | 99% | — | $970 – $9.7k |
| 16 | Devoted facility · fee schedule · outpatient | 3 | $3.8k | $3.0k | $1.7k | 55% | — | $916 – $4.5k |
| 17 | Medica facility · fee schedule · outpatient | 3 | $997 | $997 | — | — | — | $997 – $997 |
| 18 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $1.6k | $6.1k | $11.5k | 188% | — | $1.6k – $35k |
| 19 | Bcbs Ca facility · fee schedule · outpatient | 2 | $7.3k | $8.6k | $7.1k | 83% | — | $1.2k – $20.3k |
| 20 | Aetna Better Health facility · fee schedule · outpatient · +1 other terms | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 1 | $922 | $922 | — | — | — | $922 – $922 |
| 22 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $896 | $896 | — | — | — | $896 – $896 |
| 23 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $871 | $871 | $69 | 8% | — | $791 – $950 |
| 24 | Optum fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Oscar facility · fee schedule · outpatient | 1 | $5.5k | $5.5k | $1.4k | 25% | — | $1.3k – $5.9k |
← Hospitals reporting APC 05311 · Snapshot 20261111T120946Z-9134e7f7