APC 1502
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
New Technology - Level 2
Low
$39
Average
$89
Median
$78
High
$211
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.8× 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 · +2 other terms | 175 | $76 | $76 | $4 | 5% | — | $66 – $109 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 161 | $74 | $78 | $22 | 29% | — | $65 – $309 |
| 3 | Aetna fee schedule · outpatient · +2 other terms | 155 | $76 | $77 | $10 | 13% | — | $66 – $132 |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 131 | $76 | $77 | $4 | 5% | — | $66 – $94 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 125 | $74 | $76 | $4 | 6% | — | $65 – $97 |
| 6 | Devoted fee schedule · outpatient | 122 | $74 | $74 | $2 | 3% | — | $65 – $78 |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $78 | $76 | $3 | 4% | — | $74 – $83 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $109 | $106 | $41 | 38% | — | $70 – $195 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $78 | $78 | $0 | 0% | — | $78 – $78 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $78 | $77 | $4 | 5% | — | $70 – $95 |
| 11 | Oscar fee schedule · outpatient | 27 | $73 | $82 | $18 | 22% | — | $73 – $132 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $93 | $90 | $5 | 5% | — | $81 – $93 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $76 | $75 | $2 | 3% | — | $71 – $79 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $78 | $75 | $4 | 5% | — | $68 – $78 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $80 | $79 | $1 | 1% | — | $77 – $80 |
| 16 | Medicare case rate · outpatient | 8 | $69 | $70 | $2 | 2% | — | $69 – $74 |
| 17 | Optum fee schedule · outpatient | 8 | $74 | $111 | $53 | 48% | — | $71 – $186 |
| 18 | Ambetter case rate · outpatient · +2 other terms | 7 | $124 | $124 | $1 | 1% | — | $124 – $127 |
| 19 | Tricare case rate · outpatient | 7 | $66 | $66 | — | — | — | $66 – $66 |
| 20 | Excellus case rate · outpatient | 5 | $210 | $211 | $54 | 26% | — | $130 – $307 |
| 21 | Highmark case rate · outpatient | 5 | $92 | $131 | $49 | 38% | — | $92 – $217 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $109 | $110 | $11 | 10% | — | $91 – $126 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $58 | $58 | $19 | 32% | — | $39 – $77 |
| 24 | Magellan fee schedule · outpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 25 | Medicaid facility · case rate · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
← Hospitals reporting APC 1502 · Snapshot 20261111T120946Z-9134e7f7