APC 05823

Health and behavior services, level 3

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

Level 3 Health and Behavi

Payers reporting APC 05823

Payer pricing summary

Low

$105

Average

$256

Median

$197

High

$653

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +2 other terms	86	$177	$177	$7	4%	—	$130 – $188
2	Caresource fee schedule · outpatient	20	$182	$182	$1	1%	—	$180 – $183
3	Medicare facility · fee schedule · outpatient · +2 other terms	13	$183	$194	$23	12%	—	$158 – $228
4	UnitedHealthcare facility · fee schedule · outpatient · +3 other terms	12	$197	$232	$165	71%	—	$97 – $994
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	11	$171	$176	$2	1%	—	$171 – $177
6	Aetna facility · fee schedule · outpatient · +3 other terms	10	$174	$181	$17	10%	—	$157 – $281
7	Clover fee schedule · outpatient	5	$186	$185	$1	1%	—	$184 – $186
8	Kaiser fee schedule · outpatient · +1 other terms	5	$183	$182	$1	1%	—	$180 – $183
9	Molina facility · fee schedule · outpatient · +1 other terms	5	$232	$229	$10	4%	—	$189 – $232
10	WellCare fee schedule · outpatient · +2 other terms	5	$183	$182	$1	1%	—	$180 – $183
11	Tricare facility · fee schedule · outpatient · +1 other terms	4	$199	$199	$11	5%	—	$181 – $210
12	Ambetter facility · fee schedule · outpatient	3	$343	$238	$37	16%	—	$225 – $343
13	Carefirst facility · fee schedule · outpatient	3	$210	$198	$12	6%	—	$186 – $210
14	Cigna facility · fee schedule · outpatient · +1 other terms	3	$543	$560	$125	22%	—	$191 – $722
15	Devoted facility · fee schedule · outpatient	3	$185	$174	$7	4%	—	$170 – $185
16	Medica facility · fee schedule · outpatient	3	$190	$190	—	—	—	$190 – $190
17	Amerihealth Caritas facility · fee schedule · outpatient	2	$292	$292	$107	37%	—	$185 – $399
18	Anthem facility · fee schedule · outpatient	2	$535	$471	$193	41%	—	$170 – $700
19	Bcbs Ca facility · fee schedule · outpatient	2	$706	$653	$301	46%	—	$227 – $866
20	MultiPlan facility · other · outpatient	2	$293	$293	$12	4%	—	$260 – $298
21	Aetna Better Health facility · other · outpatient	1	$105	$105	—	—	—	$105 – $105
22	Bcbs Mi facility · fee schedule · outpatient	1	$172	$172	—	—	—	$172 – $172
23	Cigna Healthspring facility · fee schedule · outpatient	1	$171	$171	—	—	—	$171 – $171
24	Medical Mutual facility · other · outpatient	1	$561	$561	—	—	—	$561 – $561
25	Optum fee schedule · both	1	$222	$222	—	—	—	$222 – $222