APC 1541

New technology procedure, level 4

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 4

Payers reporting APC 1541

Payer pricing summary

Low

$131

Average

$294

Median

$258

High

$700

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$251	$251	$11	4%	—	$218 – $317
2	Humana fee schedule · outpatient · +2 other terms	161	$247	$259	$75	29%	—	$215 – $1.0k
3	Aetna fee schedule · outpatient · +2 other terms	155	$253	$257	$34	13%	—	$217 – $438
4	WellCare fee schedule · outpatient · +1 other terms	131	$254	$255	$12	5%	—	$220 – $311
5	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$246	$252	$14	6%	—	$215 – $322
6	Devoted fee schedule · outpatient	122	$246	$247	$7	3%	—	$215 – $259
7	Cigna Healthspring fee schedule · outpatient	110	$259	$253	$11	4%	—	$246 – $274
8	Molina fee schedule · outpatient · +2 other terms	69	$363	$353	$135	38%	—	$233 – $646
9	Superior Healthplan fee schedule · outpatient	40	$259	$259	$0	0%	—	$259 – $259
10	Anthem fee schedule · outpatient · +1 other terms	31	$259	$255	$14	5%	—	$233 – $315
11	Oscar fee schedule · outpatient	27	$241	$273	$60	22%	—	$241 – $438
12	Amerihealth Caritas fee schedule · outpatient	17	$307	$300	$15	5%	—	$267 – $307
13	Cigna fee schedule · outpatient · +1 other terms	15	$251	$249	$6	3%	—	$237 – $261
14	Clover fee schedule · outpatient · +1 other terms	15	$259	$248	$12	5%	—	$226 – $259
15	Kaiser fee schedule · outpatient · +1 other terms	15	$264	$262	$3	1%	—	$256 – $264
16	Medicare case rate · outpatient	8	$228	$231	$5	2%	—	$228 – $244
17	Optum fee schedule · outpatient	8	$246	$368	$175	48%	—	$236 – $616
18	Ambetter case rate · outpatient · +2 other terms	7	$410	$412	$4	1%	—	$410 – $421
19	Tricare case rate · outpatient	7	$219	$219	—	—	—	$219 – $219
20	Excellus case rate · outpatient	5	$696	$700	$179	26%	—	$432 – $1.0k
21	Highmark case rate · outpatient	5	$306	$435	$163	38%	—	$306 – $719
22	Sanford Health Plan case rate · outpatient	3	$363	$365	$37	10%	—	$303 – $418
23	Aetna Better Health facility · case rate · outpatient	1	$193	$193	$62	32%	—	$131 – $256
24	Magellan fee schedule · outpatient	1	$239	$239	—	—	—	$239 – $239
25	Medicaid facility · case rate · outpatient	1	$131	$131	—	—	—	$131 – $131