APC 05313
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
Level 3 Lower GI Procedur
Low
$2.8k
Average
$4.3k
Median
$3.3k
High
$13.1k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 2.9× 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 | $2.8k | $2.8k | $82 | 3% | — | $2.0k – $2.9k |
| 2 | Caresource fee schedule · outpatient | 20 | $2.8k | $2.8k | $17 | 1% | — | $2.8k – $2.9k |
| 3 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 14 | $3.2k | $4.5k | $3.8k | 84% | — | $2.5k – $15.5k |
| 4 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 11 | $2.7k | $2.8k | $21 | 1% | — | $2.7k – $2.8k |
| 5 | Medicare facility · fee schedule · outpatient · +2 other terms | 9 | $2.9k | $2.9k | $385 | 13% | — | $2.5k – $3.6k |
| 6 | Molina facility · fee schedule · outpatient | 7 | $3.6k | $3.6k | $533 | 15% | — | $3.0k – $5.8k |
| 7 | Aetna facility · fee schedule · outpatient · +3 other terms | 6 | $3.3k | $3.3k | $805 | 24% | — | $2.5k – $4.4k |
| 8 | Clover fee schedule · outpatient | 5 | $2.9k | $2.9k | $18 | 1% | — | $2.9k – $2.9k |
| 9 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $2.9k | $2.8k | $18 | 1% | — | $2.8k – $2.9k |
| 10 | WellCare fee schedule · outpatient · +2 other terms | 5 | $2.9k | $2.8k | $18 | 1% | — | $2.8k – $2.9k |
| 11 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $3.1k | $3.1k | $166 | 5% | — | $2.8k – $3.3k |
| 12 | Ambetter facility · fee schedule · outpatient | 3 | $5.4k | $5.2k | $438 | 8% | — | $3.6k – $5.4k |
| 13 | Carefirst facility · fee schedule · outpatient | 3 | $3.3k | $3.1k | $185 | 6% | — | $2.9k – $3.3k |
| 14 | Cigna facility · fee schedule · outpatient · +1 other terms | 3 | $8.6k | $8.6k | $3.1k | 36% | — | $3.0k – $11.3k |
| 15 | Devoted facility · fee schedule · outpatient | 3 | $2.9k | $2.9k | $42 | 1% | — | $2.7k – $2.9k |
| 16 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $4.7k | $9.1k | $10.7k | 118% | — | $4.7k – $35k |
| 17 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $4.6k | $4.6k | $1.7k | 37% | — | $2.9k – $6.2k |
| 18 | Bcbs Ca facility · fee schedule · outpatient | 2 | $13.3k | $13.1k | $7.3k | 56% | — | $3.6k – $21.4k |
| 19 | Aetna Better Health facility · fee schedule · outpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 20 | Medica facility · fee schedule · outpatient | 1 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 21 | Optum fee schedule · both | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 22 | Oscar facility · fee schedule · outpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
← Hospitals reporting APC 05313 · Snapshot 20261111T120946Z-9134e7f7