APC 05854
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
Partial Hospitalization (
Low
$155
Average
$186
Median
$190
High
$205
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 1.3× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient · +1 other terms | 81 | $163 | $159 | $8 | 5% | — | $120 – $174 |
| 2 | Caresource fee schedule · outpatient | 15 | $168 | $168 | — | — | — | $168 – $168 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $157 | $157 | — | — | — | $157 – $157 |
| 4 | Medicare fee schedule · both | 2 | $179 | $175 | $26 | 15% | — | $153 – $205 |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $175 | $175 | $31 | 17% | — | $122 – $205 |
| 6 | Aetna fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 7 | Cigna fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 8 | Optum fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 9 | UnitedHealthcare fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
| 10 | WellCare fee schedule · both | 1 | $205 | $205 | — | — | — | $205 – $205 |
← Hospitals reporting APC 05854 · Snapshot 20261111T120946Z-9134e7f7