APC 0864
Low
$4
Average
$24
Median
$24
High
$61
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 3.0× 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 · +2 other terms | 5 | $25 | $24 | $0 | 1% | — | $24 – $25 |
| 2 | Blue Cross Blue Shield facility · fee schedule · outpatient · +2 other terms | 5 | $60 | $63 | $21 | 33% | — | $25 – $91 |
| 3 | Humana facility · fee schedule · outpatient · +2 other terms | 5 | $25 | $25 | $0 | 0% | — | $25 – $25 |
| 4 | Tricare facility · fee schedule · outpatient | 5 | $24 | $24 | — | — | — | $24 – $24 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +2 other terms | 5 | $24 | $24 | — | — | — | $24 – $24 |
| 6 | WellCare facility · fee schedule · outpatient | 5 | $4 | $4 | $0 | 2% | — | $4 – $4 |
| 7 | Cigna case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 8 | Excellus case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 9 | Highmark case rate · outpatient | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 10 | Sanford Health Plan case rate · outpatient | 2 | $42 | $42 | $4 | 11% | — | $36 – $49 |
| 11 | Aetna Better Health facility · case rate · outpatient | 1 | $18 | $18 | $6 | 32% | — | $12 – $24 |
| 12 | Ambetter facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Medicaid facility · case rate · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 14 | Molina facility · case rate · outpatient | 1 | $18 | $18 | $6 | 32% | — | $12 – $24 |
← Hospitals reporting APC 0864 · Snapshot 20261111T120946Z-9134e7f7