APC 1500

New technology procedure, level 1

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

New Technology - Level 1

Payers reporting APC 1500

Payer pricing summary

Low

$24

Average

$53

Median

$47

High

$127

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	175	$46	$46	$6	14%	—	$40 – $145
2	Humana fee schedule · outpatient · +2 other terms	161	$45	$47	$14	29%	—	$39 – $186
3	Aetna fee schedule · outpatient · +2 other terms	155	$46	$47	$6	13%	—	$39 – $80
4	WellCare fee schedule · outpatient · +1 other terms	131	$46	$46	$2	5%	—	$40 – $56
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$45	$46	$3	6%	—	$39 – $58
6	Devoted fee schedule · outpatient	122	$45	$45	$1	3%	—	$39 – $47
7	Cigna Healthspring fee schedule · outpatient	110	$47	$46	$2	4%	—	$45 – $50
8	Molina fee schedule · outpatient · +2 other terms	69	$66	$64	$25	38%	—	$42 – $117
9	Superior Healthplan fee schedule · outpatient	40	$47	$47	$0	0%	—	$47 – $47
10	Anthem fee schedule · outpatient · +1 other terms	31	$47	$46	$3	5%	—	$42 – $57
11	Oscar fee schedule · outpatient	27	$44	$50	$11	22%	—	$44 – $80
12	Amerihealth Caritas fee schedule · outpatient	17	$56	$55	$3	5%	—	$49 – $56
13	Cigna fee schedule · outpatient · +1 other terms	15	$46	$45	$1	2%	—	$43 – $47
14	Clover fee schedule · outpatient · +1 other terms	15	$47	$45	$2	5%	—	$41 – $47
15	Kaiser fee schedule · outpatient · +1 other terms	15	$48	$48	$1	1%	—	$46 – $48
16	Medicare case rate · outpatient	8	$41	$42	$1	2%	—	$41 – $44
17	Optum fee schedule · outpatient	8	$45	$67	$32	48%	—	$43 – $112
18	Ambetter case rate · outpatient · +2 other terms	7	$75	$75	$1	1%	—	$75 – $76
19	Tricare case rate · outpatient	7	$40	$40	—	—	—	$40 – $40
20	Excellus case rate · outpatient	5	$126	$127	$33	26%	—	$78 – $185
21	Highmark case rate · outpatient	5	$56	$79	$30	38%	—	$56 – $131
22	Sanford Health Plan case rate · outpatient	3	$66	$66	$7	10%	—	$55 – $76
23	Aetna Better Health facility · case rate · outpatient	1	$35	$35	$11	32%	—	$24 – $46
24	Magellan fee schedule · outpatient	1	$43	$43	—	—	—	$43 – $43
25	Medicaid facility · case rate · outpatient	1	$24	$24	—	—	—	$24 – $24