APC 05861
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
Intensive Outpatient (3 services) for Hospital-based IOPs
Low
$284
Average
$343
Median
$345
High
$390
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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicare fee schedule · both | 4 | $287 | $294 | $43 | 15% | — | $245 – $390 |
| 2 | Tricare fee schedule · both · +1 other terms | 4 | $261 | $290 | $66 | 23% | — | $196 – $390 |
| 3 | Humana fee schedule · both · +1 other terms | 3 | $346 | $352 | $96 | 27% | — | $287 – $582 |
| 4 | Aetna fee schedule · both | 2 | $339 | $344 | $51 | 15% | — | $287 – $390 |
| 5 | Blue Cross Blue Shield fee schedule · both | 2 | $280 | $284 | $6 | 2% | — | $274 – $287 |
| 6 | UnitedHealthcare fee schedule · both | 2 | $339 | $344 | $51 | 15% | — | $287 – $390 |
| 7 | Ambetter fee schedule · both | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 8 | Cigna fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 9 | Optum fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 10 | WellCare fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
← Hospitals reporting APC 05861 · Snapshot 20261112T181611Z-3fa9fb76