APC 05612

Level 2 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC BRACHYTHERAPY PLAN COMPLEX

Payers reporting APC 05612

Payer pricing summary

Low

$242

Average

$538

Median

$421

High

$1.4k

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	1	$1.2k	$1.2k	—	—	70–88	$1.2k – $1.2k
2	Humana fee schedule · outpatient · +2 other terms	86	$372	$376	$14	4%	—	$274 – $397
3	Caresource fee schedule · outpatient · +1 other terms	20	$384	$384	$2	1%	—	$381 – $385
4	Aetna facility · fee schedule · outpatient · +4 other terms	12	$369	$437	$174	40%	—	$332 – $1.2k
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$360	$372	$4	1%	—	$360 – $374
6	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	11	$433	$874	$653	75%	—	$205 – $2.1k
7	Medicare facility · fee schedule · outpatient · +2 other terms	10	$386	$418	$52	12%	—	$334 – $482
8	Clover fee schedule · outpatient	5	$393	$391	$2	1%	—	$388 – $393
9	Kaiser fee schedule · outpatient · +2 other terms	5	$385	$384	$2	1%	—	$381 – $385
10	Molina facility · fee schedule · outpatient · +1 other terms	5	$488	$473	$42	9%	—	$349 – $493
11	WellCare fee schedule · outpatient · +2 other terms	5	$385	$384	$2	1%	—	$381 – $385
12	Tricare facility · fee schedule · outpatient · +1 other terms	4	$421	$424	$22	5%	—	$383 – $442
13	Aetna Better Health facility · other · outpatient · +1 other terms	3	$221	$221	—	—	—	$221 – $221
14	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$369	$368	$7	2%	—	$360 – $378
15	Carefirst facility · fee schedule · outpatient	3	$442	$423	$24	6%	—	$392 – $442
16	Medica facility · fee schedule · outpatient	3	$401	$401	—	—	—	$401 – $401
17	Anthem facility · fee schedule · outpatient	2	$1.1k	$980	$520	53%	—	$349 – $1.8k
18	Bcbs Ca facility · fee schedule · outpatient	2	$1.5k	$1.4k	$635	46%	—	$479 – $1.8k
19	MultiPlan facility · other · outpatient · +1 other terms	2	$549	$549	—	—	—	$549 – $549
20	Amerihealth Caritas facility · fee schedule · outpatient	1	$372	$372	—	—	—	$372 – $372
21	Cigna fee schedule · both	1	$467	$467	—	—	—	$467 – $467
22	Devoted facility · fee schedule · outpatient	1	$358	$358	—	—	—	$358 – $358
23	Highmark facility · fee schedule · outpatient · +1 other terms	1	$350	$350	$28	8%	—	$318 – $383
24	Optum fee schedule · both	1	$467	$467	—	—	—	$467 – $467