APC 1516
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 16 ($1401 - $1500)
Low
$759
Average
$2.1k
Median
$1.6k
High
$7.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 2.2× 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 · +5 other terms | 174 | $1.5k | $1.5k | $61 | 4% | — | $1.3k – $1.8k |
| 2 | Humana fee schedule · outpatient · +5 other terms | 161 | $1.4k | $1.5k | $432 | 29% | — | $1.2k – $5.9k |
| 3 | Aetna fee schedule · outpatient · +5 other terms | 155 | $1.5k | $1.5k | $195 | 13% | — | $1.3k – $2.5k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $1.5k | $1.5k | $69 | 5% | — | $1.3k – $1.8k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 125 | $1.4k | $1.5k | $82 | 6% | — | $1.2k – $1.9k |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $1.4k | $1.4k | $40 | 3% | — | $1.2k – $1.5k |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $1.5k | $1.5k | $62 | 4% | — | $1.4k – $1.6k |
| 8 | Molina fee schedule · outpatient · +4 other terms | 69 | $2.1k | $2.0k | $784 | 38% | — | $1.3k – $3.7k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 10 | Anthem fee schedule · outpatient · +2 other terms | 31 | $1.5k | $1.5k | $80 | 5% | — | $1.3k – $1.8k |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $1.4k | $1.6k | $346 | 22% | — | $1.4k – $2.5k |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $1.8k | $1.7k | $88 | 5% | — | $1.5k – $1.8k |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 16 | $1.5k | $1.5k | $128 | 9% | — | $1.4k – $1.9k |
| 14 | Clover fee schedule · outpatient · +2 other terms | 15 | $1.5k | $1.4k | $71 | 5% | — | $1.3k – $1.5k |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $1.5k | $1.5k | $17 | 1% | — | $1.5k – $1.5k |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $2.4k | $2.8k | $465 | 17% | — | $2.4k – $3.3k |
| 17 | Medicare case rate · outpatient · +2 other terms | 8 | $1.3k | $1.3k | $32 | 2% | — | $1.3k – $1.4k |
| 18 | Optum fee schedule · outpatient · +1 other terms | 8 | $1.4k | $2.1k | $1.0k | 48% | — | $1.4k – $3.6k |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Excellus case rate · outpatient | 5 | $4.0k | $4.1k | $1.0k | 26% | — | $2.5k – $5.9k |
| 21 | Highmark case rate · outpatient · +2 other terms | 5 | $1.8k | $2.5k | $945 | 38% | — | $1.8k – $4.2k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $2.1k | $2.1k | $214 | 10% | — | $1.8k – $2.4k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $1.1k | $1.1k | $360 | 32% | — | $759 – $1.5k |
| 24 | Bcbs Nj facility · other · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 25 | Caresource facility · fee schedule · outpatient | 1 | $7.2k | $7.2k | $874 | 12% | — | $6.4k – $8.1k |
← Hospitals reporting APC 1516 · Snapshot 20261111T120946Z-9134e7f7