APC 05863
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
$297
Average
$350
Median
$355
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 | Humana fee schedule · outpatient · +1 other terms | 81 | $311 | $304 | $15 | 5% | — | $229 – $331 |
| 2 | Caresource fee schedule · outpatient | 15 | $321 | $321 | — | — | — | $321 – $321 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $300 | $300 | — | — | — | $300 – $300 |
| 4 | Medicare fee schedule · both | 2 | $317 | $307 | $72 | 23% | — | $245 – $390 |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $312 | $312 | $80 | 25% | — | $196 – $390 |
| 6 | Aetna fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 7 | Cigna fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 8 | Optum fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 9 | UnitedHealthcare fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
| 10 | WellCare fee schedule · both | 1 | $390 | $390 | — | — | — | $390 – $390 |
← Hospitals reporting APC 05863 · Snapshot 20261111T120946Z-9134e7f7