APC 05611

Level 1 radiation therapy treatment

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC SPECIAL DOSIMETRY

Payers reporting APC 05611

Payer pricing summary

Low

$88

Average

$490

Median

$180

High

$4.2k

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	1	$425	$425	—	—	137–155	$425 – $425
2	Aetna Better Health facility · other · outpatient · +1 other terms	3	$79	$79	—	—	1–10	$79 – $79
3	Humana fee schedule · outpatient · +2 other terms	86	$134	$135	$5	4%	—	$98 – $142
4	Caresource fee schedule · outpatient · +1 other terms	20	$138	$138	$1	1%	—	$137 – $138
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	12	$164	$328	$357	109%	—	$74 – $4.4k
6	Aetna facility · fee schedule · outpatient · +4 other terms	11	$132	$157	$67	43%	—	$125 – $416
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$129	$134	$1	1%	—	$129 – $134
8	Medicare facility · fee schedule · outpatient · +2 other terms	11	$139	$203	$453	223%	—	$122 – $4.3k
9	Molina facility · fee schedule · outpatient · +1 other terms	7	$175	$242	$552	229%	—	$125 – $4.5k
10	Clover fee schedule · outpatient	5	$141	$140	$1	1%	—	$139 – $141
11	Kaiser fee schedule · outpatient · +2 other terms	5	$138	$138	$1	1%	—	$137 – $138
12	WellCare fee schedule · outpatient · +2 other terms	5	$138	$138	$1	1%	—	$137 – $138
13	Tricare facility · fee schedule · outpatient · +1 other terms	4	$151	$152	$8	5%	—	$137 – $159
14	Amerihealth Caritas facility · fee schedule · outpatient	3	$221	$1.4k	$2.8k	204%	—	$134 – $9.4k
15	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$133	$132	$2	2%	—	$129 – $136
16	Carefirst facility · fee schedule · outpatient	3	$159	$152	$9	6%	—	$141 – $159
17	Devoted facility · fee schedule · outpatient	3	$140	$457	$1.1k	248%	—	$129 – $4.4k
18	Medica facility · fee schedule · outpatient	3	$144	$144	—	—	—	$144 – $144
19	Ambetter facility · fee schedule · outpatient	2	$4.2k	$4.2k	$3.9k	94%	—	$260 – $8.1k
20	Anthem facility · fee schedule · outpatient	2	$388	$379	$208	55%	—	$125 – $650
21	Bcbs Ca facility · fee schedule · outpatient	2	$535	$494	$228	46%	—	$172 – $655
22	Cigna facility · fee schedule · outpatient · +1 other terms	2	$2.4k	$2.4k	$2.0k	83%	—	$145 – $4.5k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$197	$197	—	—	—	$197 – $197
24	Highmark facility · fee schedule · outpatient · +1 other terms	1	$127	$127	$10	8%	—	$115 – $137
25	Optum fee schedule · both	1	$168	$168	—	—	—	$168 – $168