APC 0725
Low
$6
Average
$17
Median
$18
High
$42
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 2.5× 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 | Excellus case rate · outpatient | 2 | $18 | $18 | — | — | 30 | $18 – $18 |
| 2 | Aetna facility · fee schedule · outpatient · +2 other terms | 5 | $18 | $18 | $0 | 1% | — | $18 – $18 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 5 | $45 | $47 | $16 | 33% | — | $19 – $68 |
| 4 | Humana facility · fee schedule · outpatient · +2 other terms | 5 | $18 | $18 | $0 | 0% | — | $18 – $18 |
| 5 | Tricare facility · fee schedule · outpatient | 5 | $18 | $18 | — | — | — | $18 – $18 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 5 | $18 | $18 | — | — | — | $18 – $18 |
| 7 | WellCare facility · fee schedule · outpatient | 5 | $6 | $6 | $0 | 2% | — | $6 – $6 |
| 8 | Cigna case rate · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 9 | Highmark case rate · outpatient | 2 | $18 | $18 | — | — | — | $18 – $18 |
| 10 | Sanford Health Plan case rate · outpatient | 2 | $26 | $26 | $3 | 11% | — | $22 – $30 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $14 | $14 | $4 | 32% | — | $9 – $18 |
| 12 | Ambetter facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 13 | Medicaid facility · case rate · outpatient | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Molina facility · case rate · outpatient | 1 | $14 | $14 | $4 | 32% | — | $9 – $18 |
← Hospitals reporting APC 0725 · Snapshot 20261111T120946Z-9134e7f7