APC 1540

New technology procedure, level 3 tier

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 3

Payers reporting APC 1540

Payer pricing summary

Low

$79

Average

$177

Median

$155

High

$421

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$151	$151	$6	4%	—	$131 – $190
2	Humana fee schedule · outpatient · +2 other terms	161	$148	$156	$45	29%	—	$129 – $615
3	Aetna fee schedule · outpatient · +2 other terms	155	$152	$154	$20	13%	—	$131 – $263
4	WellCare fee schedule · outpatient · +1 other terms	131	$152	$153	$7	5%	—	$132 – $187
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$148	$151	$8	6%	—	$129 – $193
6	Devoted fee schedule · outpatient	122	$148	$148	$4	3%	—	$129 – $155
7	Cigna Healthspring fee schedule · outpatient	110	$155	$152	$6	4%	—	$148 – $165
8	Molina fee schedule · outpatient · +2 other terms	69	$218	$212	$81	38%	—	$140 – $388
9	Superior Healthplan fee schedule · outpatient	40	$155	$155	$0	0%	—	$155 – $156
10	Anthem fee schedule · outpatient · +1 other terms	31	$155	$153	$8	5%	—	$140 – $189
11	Oscar fee schedule · outpatient	27	$145	$164	$36	22%	—	$145 – $263
12	Amerihealth Caritas fee schedule · outpatient	17	$185	$180	$9	5%	—	$161 – $185
13	Cigna fee schedule · outpatient · +1 other terms	15	$151	$150	$4	3%	—	$142 – $157
14	Clover fee schedule · outpatient · +1 other terms	15	$155	$149	$7	5%	—	$136 – $155
15	Kaiser fee schedule · outpatient · +1 other terms	15	$159	$158	$2	1%	—	$154 – $159
16	Medicare case rate · outpatient	8	$137	$139	$3	2%	—	$137 – $147
17	Optum fee schedule · outpatient	8	$148	$221	$105	48%	—	$142 – $370
18	Ambetter case rate · outpatient · +2 other terms	7	$247	$248	$2	1%	—	$247 – $253
19	Tricare case rate · outpatient	7	$132	$132	—	—	—	$132 – $132
20	Excellus case rate · outpatient	5	$418	$421	$108	26%	—	$259 – $612
21	Highmark case rate · outpatient	5	$184	$261	$98	38%	—	$184 – $432
22	Sanford Health Plan case rate · outpatient	3	$218	$220	$22	10%	—	$182 – $251
23	Aetna Better Health facility · case rate · outpatient	1	$116	$116	$37	32%	—	$79 – $154
24	Magellan fee schedule · outpatient	1	$144	$144	—	—	—	$144 – $144
25	Medicaid facility · case rate · outpatient	1	$79	$79	—	—	—	$79 – $79