APC 0716
Low
$536
Average
$16.1k
Median
$1.0k
High
$211.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 3.3× 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 | Aetna facility · fee schedule · outpatient · +2 other terms | 5 | $1.1k | $1.1k | $12 | 1% | — | $1.0k – $1.1k |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 5 | $2.2k | $2.4k | $1.0k | 43% | — | $923 – $3.9k |
| 3 | Humana facility · fee schedule · outpatient · +2 other terms | 5 | $1.1k | $1.1k | $2 | 0% | — | $1.1k – $1.1k |
| 4 | Tricare facility · fee schedule · outpatient | 5 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 5 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | WellCare facility · fee schedule · outpatient | 5 | $211.8k | $211.4k | $3.5k | 2% | — | $205.6k – $215.9k |
| 7 | Cigna case rate · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | Excellus case rate · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Highmark case rate · outpatient | 2 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | Sanford Health Plan case rate · outpatient | 2 | $1.5k | $1.5k | $156 | 11% | — | $1.3k – $1.7k |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $791 | $791 | $255 | 32% | — | $536 – $1.0k |
| 12 | Ambetter facility · case rate · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 13 | Medicaid facility · case rate · outpatient | 1 | $536 | $536 | — | — | — | $536 – $536 |
| 14 | Molina facility · case rate · outpatient | 1 | $791 | $791 | $255 | 32% | — | $536 – $1.0k |
← Hospitals reporting APC 0716 · Snapshot 20261111T120946Z-9134e7f7