APC 05771
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
HC CARD REHAB PHS 2 WO ECG PER SES
Low
$98
Average
$181
Median
$144
High
$474
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.4× 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 | $445 | $445 | $38 | 9% | 103–112 | $407 – $483 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $128 | $126 | $6 | 5% | — | $94 – $137 |
| 3 | Caresource fee schedule · outpatient · +1 other terms | 20 | $132 | $132 | $1 | 0% | — | $131 – $133 |
| 4 | Aetna facility · fee schedule · outpatient · +4 other terms | 13 | $126 | $134 | $37 | 28% | — | $119 – $399 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $124 | $127 | $2 | 2% | — | $124 – $129 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 11 | $145 | $246 | $211 | 86% | — | $71 – $722 |
| 7 | Medicare facility · fee schedule · outpatient · +2 other terms | 6 | $133 | $132 | $4 | 3% | — | $117 – $133 |
| 8 | Anthem facility · fee schedule · outpatient | 5 | $451 | $404 | $172 | 43% | — | $120 – $616 |
| 9 | Clover fee schedule · outpatient | 5 | $135 | $135 | $1 | 1% | — | $134 – $135 |
| 10 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $133 | $132 | $1 | 1% | — | $131 – $133 |
| 11 | WellCare fee schedule · outpatient · +2 other terms | 5 | $133 | $132 | $1 | 1% | — | $131 – $133 |
| 12 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $76 | $76 | — | — | — | $76 – $76 |
| 13 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $127 | $127 | $2 | 2% | — | $124 – $130 |
| 14 | Medica facility · fee schedule · outpatient | 3 | $138 | $138 | — | — | — | $138 – $138 |
| 15 | Tricare facility · fee schedule · outpatient · +1 other terms | 3 | $137 | $144 | $9 | 6% | — | $132 – $152 |
| 16 | Ambetter facility · fee schedule · outpatient | 2 | $166 | $167 | $3 | 2% | — | $163 – $169 |
| 17 | Bcbs Ca facility · fee schedule · outpatient | 2 | $513 | $474 | $219 | 46% | — | $165 – $629 |
| 18 | Carefirst facility · fee schedule · outpatient | 2 | $144 | $145 | $8 | 6% | — | $135 – $152 |
| 19 | Devoted facility · fee schedule · outpatient | 2 | $125 | $125 | $2 | 2% | — | $123 – $127 |
| 20 | MultiPlan facility · other · outpatient | 2 | $189 | $189 | — | — | — | $189 – $189 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 22 | Cigna fee schedule · both · +1 other terms | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 23 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 24 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $120 | $120 | $10 | 8% | — | $109 – $132 |
| 25 | Molina facility · fee schedule · outpatient · +1 other terms | 1 | $120 | $120 | — | — | — | $120 – $120 |
← Hospitals reporting APC 05771 · Snapshot 20261111T120946Z-9134e7f7