APC 1417
Low
$277
Average
$598
Median
$554
High
$996
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 1.4× 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 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $533 | $534 | $6 | 1% | — | $525 – $554 |
| 2 | Humana fee schedule · outpatient · +4 other terms | 161 | $528 | $550 | $150 | 27% | — | $512 – $2.1k |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $534 | $546 | $66 | 12% | — | $526 – $921 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $544 | $549 | $20 | 4% | — | $526 – $697 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +6 other terms | 126 | $537 | $535 | $21 | 4% | — | $517 – $781 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $528 | $528 | $2 | 0% | — | $527 – $554 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $549 | $539 | $15 | 3% | — | $527 – $576 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $778 | $757 | $289 | 38% | — | $526 – $1.4k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $554 | $554 | $1 | 0% | — | $553 – $560 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $528 | $532 | $7 | 1% | — | $526 – $544 |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 27 | $517 | $576 | $123 | 21% | — | $516 – $921 |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $634 | $629 | $10 | 2% | — | $608 – $634 |
| 13 | Cigna fee schedule · outpatient · +3 other terms | 16 | $539 | $550 | $32 | 6% | — | $526 – $661 |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $553 | $554 | $2 | 0% | — | $553 – $560 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $539 | $538 | $3 | 0% | — | $528 – $539 |
| 16 | Ambetter case rate · outpatient · +2 other terms | 12 | $953 | $1.1k | $135 | 13% | — | $953 – $1.2k |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $529 | $529 | — | — | — | $529 – $529 |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $531 | $794 | $374 | 47% | — | $528 – $1.3k |
| 19 | Highmark case rate · outpatient · +2 other terms | 5 | $529 | $716 | $254 | 35% | — | $529 – $1.2k |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $529 | $529 | — | — | — | $529 – $529 |
| 21 | Excellus case rate · outpatient | 4 | $723 | $738 | $270 | 37% | — | $529 – $1.2k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $759 | $765 | $77 | 10% | — | $635 – $875 |
| 23 | Bcbs Nj facility · other · outpatient | 2 | $528 | $528 | — | — | — | $528 – $528 |
| 24 | Medica facility · fee schedule · outpatient | 2 | $554 | $554 | — | — | — | $554 – $554 |
| 25 | Aetna Better Health facility · case rate · outpatient | 1 | $408 | $408 | $132 | 32% | — | $277 – $540 |
← Hospitals reporting APC 1417 · Snapshot 20261111T120946Z-9134e7f7