APC 1511

New technology procedure, level 11

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 11 ($901 - $1000)

Payers reporting APC 1511

Payer pricing summary

Low

$200

Average

$1.4k

Median

$1.1k

High

$3.9k

Payer rate distribution

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#
1	Excellus case rate · outpatient	5	$2.6k	$2.7k	$680	26%	61–70	$1.6k – $3.9k
2	Medical Mutual other · outpatient · +1 other terms	2	$2.8k	$2.8k	$704	25%	2–20	$2.1k – $3.5k
3	Highmark case rate · outpatient · +1 other terms	5	$1.2k	$1.7k	$619	38%	1–10	$1.2k – $2.7k
4	Phcs percent of total billed charges · outpatientfrom % of charges	1	$200	$200	—	—	1–10	$200 – $200
5	UnitedHealthcare fee schedule · outpatient · +6 other terms	174	$953	$954	$40	4%	—	$829 – $1.2k
6	Humana fee schedule · outpatient · +5 other terms	161	$936	$984	$283	29%	—	$817 – $3.9k
7	Aetna fee schedule · outpatient · +6 other terms	155	$960	$973	$128	13%	—	$825 – $1.7k
8	WellCare fee schedule · outpatient · +4 other terms	131	$963	$966	$45	5%	—	$833 – $1.2k
9	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	126	$935	$976	$194	20%	—	$817 – $2.9k
10	Devoted fee schedule · outpatient · +2 other terms	122	$935	$936	$26	3%	—	$817 – $981
11	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$981	$962	$40	4%	—	$935 – $1.0k
12	Molina fee schedule · outpatient · +5 other terms	69	$1.4k	$1.3k	$514	38%	—	$883 – $2.5k
13	Superior Healthplan fee schedule · outpatient	40	$981	$982	$1	0%	—	$981 – $983
14	Anthem fee schedule · outpatient · +3 other terms	31	$981	$969	$53	5%	—	$883 – $1.2k
15	Oscar fee schedule · outpatient · +2 other terms	27	$916	$1.0k	$226	22%	—	$916 – $1.7k
16	Amerihealth Caritas fee schedule · outpatient	17	$1.2k	$1.1k	$58	5%	—	$1.0k – $1.2k
17	Cigna fee schedule · outpatient · +4 other terms	16	$950	$1.0k	$126	13%	—	$898 – $1.3k
18	Clover fee schedule · outpatient · +3 other terms	15	$981	$941	$47	5%	—	$857 – $981
19	Kaiser fee schedule · outpatient · +3 other terms	15	$1.0k	$996	$11	1%	—	$970 – $1.0k
20	Ambetter case rate · outpatient · +5 other terms	12	$1.6k	$1.8k	$305	17%	—	$1.6k – $2.2k
21	Medicare facility · fee schedule · outpatient · +2 other terms	9	$959	$2.0k	$2.0k	98%	—	$959 – $5.9k
22	Optum fee schedule · outpatient · +4 other terms	8	$934	$1.4k	$665	48%	—	$894 – $2.3k
23	Tricare case rate · outpatient · +1 other terms	7	$831	$831	—	—	—	$831 – $831
24	Medica facility · fee schedule · outpatient	5	$997	$1.0k	$7	1%	—	$986 – $1.0k
25	Sanford Health Plan case rate · outpatient	3	$1.4k	$1.4k	$141	10%	—	$1.2k – $1.6k

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