APC 0839
Low
$29
Average
$368
Median
$56
High
$4.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 4.3× 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 | Excellus case rate · outpatient | 2 | $56 | $56 | — | — | 24 | $56 – $56 |
| 2 | Aetna facility · fee schedule · outpatient · +2 other terms | 5 | $57 | $57 | $1 | 1% | — | $56 – $57 |
| 3 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 5 | $118 | $123 | $58 | 47% | — | $52 – $211 |
| 4 | Humana facility · fee schedule · outpatient · +2 other terms | 5 | $58 | $58 | $0 | 0% | — | $57 – $58 |
| 5 | Tricare facility · fee schedule · outpatient | 5 | $56 | $56 | — | — | — | $56 – $56 |
| 6 | UnitedHealthcare facility · fee schedule · outpatient · +3 other terms | 5 | $56 | $56 | — | — | — | $56 – $56 |
| 7 | WellCare facility · fee schedule · outpatient · +1 other terms | 5 | $57 | $57 | $1 | 2% | — | $56 – $58 |
| 8 | Cigna case rate · outpatient | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 9 | Highmark case rate · outpatient | 2 | $56 | $56 | — | — | — | $56 – $56 |
| 10 | Sanford Health Plan case rate · outpatient | 2 | $77 | $77 | $8 | 11% | — | $65 – $90 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $43 | $43 | $14 | 32% | — | $29 – $57 |
| 12 | Ambetter facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 13 | Medicaid facility · case rate · outpatient | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 14 | Molina facility · case rate · outpatient | 1 | $43 | $43 | $14 | 32% | — | $29 – $57 |
← Hospitals reporting APC 0839 · Snapshot 20261111T120946Z-9134e7f7