APC 0857
Low
$5
Average
$23
Median
$24
High
$62
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 2.0× 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 · +1 other terms | 5 | $26 | $26 | $0 | 1% | — | $25 – $26 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +1 other terms | 5 | $63 | $66 | $22 | 33% | — | $26 – $95 |
| 3 | Humana facility · fee schedule · outpatient · +1 other terms | 5 | $26 | $26 | $0 | 0% | — | $26 – $26 |
| 4 | Tricare facility · fee schedule · outpatient | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +1 other terms | 5 | $25 | $25 | — | — | — | $25 – $25 |
| 6 | WellCare facility · fee schedule · outpatient | 5 | $26 | $26 | $0 | 2% | — | $25 – $26 |
| 7 | Sanford Health Plan case rate · outpatient | 2 | $5 | $5 | $0 | 11% | — | $4 – $5 |
| 8 | Aetna Better Health facility · case rate · outpatient | 1 | $19 | $19 | $6 | 32% | — | $13 – $25 |
| 9 | Ambetter facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 10 | Medicaid facility · case rate · outpatient | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 11 | Molina facility · case rate · outpatient | 1 | $19 | $19 | $6 | 32% | — | $13 – $25 |
← Hospitals reporting APC 0857 · Snapshot 20261111T120946Z-9134e7f7