APC 05801

Starting ventilator breathing support

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 VENTILATOR SUBSEQUENT DAY

Payers reporting APC 05801

Payer pricing summary

Low

$462

Average

$952

Median

$703

High

$2.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +2 other terms	86	$615	$610	$28	5%	—	$452 – $655
2	Caresource fee schedule · outpatient · +1 other terms	20	$634	$633	$3	0%	—	$628 – $636
3	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	18	$704	$1.3k	$994	75%	—	$338 – $3.5k
4	Aetna facility · fee schedule · outpatient · +4 other terms	15	$605	$704	$241	34%	—	$548 – $1.9k
5	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$594	$611	$9	1%	—	$594 – $617
6	Medicare facility · fee schedule · outpatient · +2 other terms	11	$637	$638	$60	9%	—	$550 – $795
7	Anthem facility · fee schedule · outpatient	5	$2.3k	$2.1k	$924	44%	—	$575 – $3.2k
8	Clover fee schedule · outpatient	5	$648	$645	$4	1%	—	$640 – $648
9	Kaiser fee schedule · outpatient · +2 other terms	5	$636	$633	$4	1%	—	$628 – $636
10	Molina facility · fee schedule · outpatient · +1 other terms	5	$734	$735	$65	9%	—	$575 – $811
11	WellCare fee schedule · outpatient · +2 other terms	5	$636	$633	$4	1%	—	$628 – $636
12	Aetna Better Health facility · other · outpatient · +1 other terms	4	$365	$365	—	—	—	$365 – $365
13	Ambetter facility · fee schedule · outpatient	4	$1.0k	$975	$196	20%	—	$782 – $1.2k
14	Cigna facility · fee schedule · outpatient · +1 other terms	4	$1.9k	$1.9k	$670	36%	—	$666 – $2.5k
15	Devoted facility · fee schedule · outpatient	4	$627	$621	$23	4%	—	$591 – $645
16	Tricare facility · fee schedule · outpatient · +1 other terms	4	$694	$694	$38	5%	—	$631 – $730
17	Amerihealth Caritas facility · fee schedule · outpatient	3	$1.0k	$936	$369	39%	—	$614 – $1.4k
18	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$609	$609	$11	2%	—	$594 – $624
19	Carefirst facility · fee schedule · outpatient	3	$730	$692	$41	6%	—	$647 – $730
20	Medica facility · fee schedule · outpatient	3	$662	$662	—	—	—	$662 – $662
21	Bcbs Ca facility · fee schedule · outpatient	2	$2.5k	$2.3k	$1.0k	46%	—	$791 – $3.0k
22	Medical Mutual facility · other · outpatient	2	$2.1k	$2.1k	$181	9%	—	$2.0k – $2.3k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
24	Cigna Healthspring facility · fee schedule · outpatient	1	$595	$595	—	—	—	$595 – $595
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$617	$617	$38	6%	—	$574 – $673

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