APC 05694
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
IMPLANTABLE PUMP REFILL
Low
$237
Average
$830
Median
$867
High
$1.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 3.7× 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 | $1.1k | $1.1k | $92 | 8% | 230–266 | $1.0k – $1.2k |
| 2 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 3 | Humana fee schedule · outpatient · +2 other terms | 86 | $329 | $1.0k | $1.4k | 138% | — | $242 – $4.3k |
| 4 | Caresource fee schedule · outpatient · +1 other terms | 20 | $339 | $1.2k | $1.5k | 132% | — | $336 – $4.3k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 17 | $390 | $813 | $731 | 90% | — | $181 – $4.4k |
| 6 | Aetna facility · fee schedule · outpatient · +4 other terms | 15 | $323 | $380 | $157 | 41% | — | $293 – $1.0k |
| 7 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $340 | $569 | $839 | 148% | — | $294 – $4.3k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $317 | $1.2k | $1.5k | 127% | — | $317 – $4.2k |
| 9 | Molina facility · fee schedule · outpatient · +1 other terms | 8 | $436 | $817 | $1.1k | 138% | — | $307 – $4.5k |
| 10 | Anthem facility · fee schedule · outpatient | 5 | $1.2k | $986 | $455 | 46% | — | $307 – $1.6k |
| 11 | Clover fee schedule · outpatient | 5 | $1.3k | $1.3k | $1.6k | 127% | — | $342 – $4.4k |
| 12 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $1.2k | $1.2k | $1.5k | 126% | — | $336 – $4.3k |
| 13 | WellCare fee schedule · outpatient · +2 other terms | 5 | $1.2k | $1.2k | $1.5k | 126% | — | $336 – $4.3k |
| 14 | Ambetter facility · fee schedule · outpatient | 4 | $536 | $1.1k | $2.2k | 190% | — | $418 – $8.2k |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $1.0k | $1.7k | $1.4k | 83% | — | $356 – $4.5k |
| 16 | Devoted facility · fee schedule · outpatient | 4 | $335 | $867 | $1.4k | 159% | — | $316 – $4.4k |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $371 | $376 | $19 | 5% | — | $337 – $390 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $543 | $1.9k | $2.9k | 156% | — | $328 – $9.5k |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $326 | $324 | $5 | 2% | — | $317 – $334 |
| 20 | Carefirst facility · fee schedule · outpatient | 3 | $390 | $375 | $21 | 6% | — | $346 – $390 |
| 21 | Medica facility · fee schedule · outpatient | 3 | $354 | $354 | — | — | — | $354 – $354 |
| 22 | MultiPlan facility · other · outpatient · +1 other terms | 3 | $554 | $610 | $184 | 30% | — | $487 – $1.1k |
| 23 | Bcbs Ca facility · fee schedule · outpatient | 2 | $1.3k | $1.3k | $544 | 43% | — | $423 – $1.6k |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $315 | $315 | $23 | 7% | — | $288 – $337 |
← Hospitals reporting APC 05694 · Snapshot 20261111T120946Z-9134e7f7