APC 05521
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
HUMERUS MIN 2 VWS LT
Low
$68
Average
$135
Median
$109
High
$320
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual facility · other · outpatient | 2 | $301 | $299 | $26 | 9% | 1,674–1,962 | $275 – $326 |
| 2 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $51 | $51 | — | — | 5–50 | $51 – $51 |
| 3 | Humana fee schedule · outpatient · +2 other terms | 86 | $87 | $88 | $2 | 2% | — | $64 – $92 |
| 4 | Caresource fee schedule · outpatient · +1 other terms | 20 | $89 | $89 | $1 | 1% | — | $88 – $90 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 18 | $99 | $167 | $136 | 82% | — | $46 – $600 |
| 6 | Aetna facility · fee schedule · outpatient · +4 other terms | 15 | $85 | $100 | $42 | 42% | — | $47 – $270 |
| 7 | Medicare facility · fee schedule · outpatient · +2 other terms | 14 | $90 | $104 | $202 | 195% | — | $54 – $3.5k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $84 | $87 | $1 | 1% | — | $84 – $87 |
| 9 | Molina facility · fee schedule · outpatient · +1 other terms | 8 | $114 | $128 | $238 | 186% | — | $57 – $3.6k |
| 10 | Anthem facility · fee schedule · outpatient | 5 | $314 | $277 | $121 | 44% | — | $81 – $431 |
| 11 | Clover fee schedule · outpatient | 5 | $91 | $91 | $1 | 1% | — | $90 – $91 |
| 12 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $90 | $89 | $1 | 1% | — | $88 – $90 |
| 13 | WellCare fee schedule · outpatient · +2 other terms | 5 | $90 | $89 | $1 | 1% | — | $88 – $90 |
| 14 | Ambetter facility · fee schedule · outpatient | 4 | $141 | $128 | $26 | 20% | — | $110 – $168 |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $189 | $208 | $61 | 30% | — | $94 – $280 |
| 16 | Devoted facility · fee schedule · outpatient | 4 | $88 | $88 | $3 | 4% | — | $83 – $91 |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $97 | $99 | $7 | 7% | — | $46 – $103 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $143 | $132 | $52 | 39% | — | $86 – $195 |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $86 | $86 | $1 | 2% | — | $83 – $88 |
| 20 | Carefirst facility · fee schedule · outpatient | 3 | $102 | $99 | $7 | 7% | — | $46 – $103 |
| 21 | Medica facility · fee schedule · outpatient | 3 | $93 | $93 | $0 | 0% | — | $93 – $93 |
| 22 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $145 | $146 | $4 | 3% | — | $128 – $194 |
| 23 | Bcbs Ca facility · fee schedule · outpatient | 2 | $346 | $320 | $148 | 46% | — | $111 – $424 |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $83 | $83 | $6 | 7% | — | $76 – $90 |
← Hospitals reporting APC 05521 · Snapshot 20261111T120946Z-9134e7f7