APC 05742
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 2 Electronic Analys
Low
$64
Average
$573
Median
$355
High
$2.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 11.1× 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 | $95 | $464 | $1.1k | 242% | — | $70 – $4.3k |
| 2 | Caresource fee schedule · outpatient · +1 other terms | 20 | $98 | $866 | $1.5k | 178% | — | $97 – $4.3k |
| 3 | Aetna facility · fee schedule · outpatient · +4 other terms | 14 | $93 | $106 | $34 | 32% | — | $84 – $294 |
| 4 | Medicare facility · fee schedule · outpatient · +2 other terms | 13 | $98 | $468 | $1.1k | 233% | — | $85 – $4.3k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 12 | $116 | $267 | $385 | 144% | — | $52 – $4.4k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $91 | $1.4k | $1.7k | 127% | — | $91 – $4.1k |
| 7 | Molina facility · fee schedule · outpatient · +1 other terms | 6 | $129 | $951 | $1.6k | 164% | — | $89 – $4.5k |
| 8 | Anthem facility · fee schedule · outpatient | 5 | $329 | $254 | $120 | 47% | — | $89 – $449 |
| 9 | Clover fee schedule · outpatient | 5 | $2.1k | $2.1k | $2.0k | 96% | — | $99 – $4.3k |
| 10 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $2.0k | $2.0k | $1.9k | 96% | — | $97 – $4.3k |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $2.0k | $2.0k | $1.9k | 96% | — | $97 – $4.3k |
| 12 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $56 | $56 | — | — | — | $56 – $56 |
| 13 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $107 | $107 | $6 | 5% | — | $97 – $112 |
| 14 | Ambetter facility · fee schedule · outpatient | 3 | $184 | $926 | $2.4k | 259% | — | $120 – $8.1k |
| 15 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $156 | $2.4k | $3.5k | 147% | — | $94 – $9.4k |
| 16 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $94 | $93 | $1 | 1% | — | $91 – $96 |
| 17 | Carefirst facility · fee schedule · outpatient | 3 | $112 | $106 | $6 | 6% | — | $100 – $112 |
| 18 | Cigna facility · fee schedule · outpatient · +1 other terms | 3 | $306 | $1.5k | $1.9k | 128% | — | $103 – $4.5k |
| 19 | Devoted facility · fee schedule · outpatient | 3 | $99 | $629 | $1.4k | 226% | — | $91 – $4.4k |
| 20 | Medica facility · fee schedule · outpatient | 3 | $102 | $102 | — | — | — | $102 – $102 |
| 21 | Bcbs Ca facility · fee schedule · outpatient | 2 | $378 | $350 | $161 | 46% | — | $122 – $464 |
| 22 | Medical Mutual facility · other · outpatient | 2 | $328 | $319 | $26 | 8% | — | $300 – $356 |
| 23 | MultiPlan facility · other · outpatient | 2 | $139 | $139 | — | — | — | $139 – $139 |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $88 | $88 | $7 | 8% | — | $80 – $97 |
← Hospitals reporting APC 05742 · Snapshot 20261111T120946Z-9134e7f7