APC 09345
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
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Low
$95
Average
$122
Median
$112
High
$185
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
17 payers; the 90th percentile is 1.7× 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 | Humana fee schedule · outpatient · +1 other terms | 86 | $116 | $112 | $14 | 12% | — | $72 – $128 |
| 2 | Caresource fee schedule · outpatient | 20 | $119 | $111 | $19 | 17% | — | $74 – $123 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 11 | $119 | $103 | $23 | 22% | — | $72 – $119 |
| 4 | Aetna facility · fee schedule · outpatient · +1 other terms | 7 | $113 | $117 | $4 | 4% | — | $113 – $123 |
| 5 | Clover fee schedule · outpatient | 5 | $95 | $95 | $24 | 25% | — | $72 – $119 |
| 6 | Kaiser fee schedule · outpatient · +1 other terms | 5 | $98 | $98 | $25 | 25% | — | $74 – $123 |
| 7 | Medicare fee schedule · outpatient · +1 other terms | 5 | $95 | $95 | $24 | 25% | — | $72 – $119 |
| 8 | UnitedHealthcare fee schedule · outpatient · +1 other terms | 5 | $95 | $95 | $24 | 25% | — | $72 – $119 |
| 9 | WellCare fee schedule · outpatient · +1 other terms | 5 | $98 | $98 | $25 | 25% | — | $74 – $123 |
| 10 | Carefirst facility · fee schedule · outpatient | 3 | $119 | $119 | — | — | — | $119 – $119 |
| 11 | Medica facility · fee schedule · outpatient | 3 | $124 | $124 | — | — | — | $124 – $124 |
| 12 | Tricare facility · fee schedule · outpatient | 3 | $119 | $119 | — | — | — | $119 – $119 |
| 13 | Ambetter facility · fee schedule · outpatient | 1 | $167 | $167 | — | — | — | $167 – $167 |
| 14 | Amerihealth Caritas facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 15 | Devoted facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 16 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $115 | $115 | $8 | 7% | — | $108 – $126 |
| 17 | Oscar facility · fee schedule · outpatient | 1 | $179 | $179 | — | — | — | $179 – $179 |
← Hospitals reporting APC 09345 · Snapshot 20261111T120946Z-9134e7f7