APC 1577
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 40
Low
$11.8k
Average
$26.6k
Median
$23.2k
High
$62.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
25 payers; the 90th percentile is 1.7× 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.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +3 other terms | 174 | $22.6k | $22.6k | $946 | 4% | — | $19.6k – $28.5k |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $22.2k | $23.3k | $6.7k | 29% | — | $19.3k – $92.0k |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $22.7k | $23.0k | $3.0k | 13% | — | $19.5k – $39.4k |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $22.8k | $22.9k | $1.1k | 5% | — | $19.7k – $27.9k |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 125 | $22.1k | $22.6k | $1.3k | 6% | — | $19.3k – $28.9k |
| 6 | Devoted fee schedule · outpatient | 122 | $22.1k | $22.2k | $626 | 3% | — | $19.3k – $23.2k |
| 7 | Cigna Healthspring fee schedule · outpatient | 110 | $23.2k | $22.8k | $958 | 4% | — | $22.1k – $24.6k |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $32.6k | $31.7k | $12.2k | 38% | — | $20.9k – $58.1k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $23.2k | $23.2k | $14 | 0% | — | $23.2k – $23.3k |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $23.2k | $22.9k | $1.2k | 5% | — | $20.9k – $28.3k |
| 11 | Oscar fee schedule · outpatient | 27 | $21.7k | $24.6k | $5.4k | 22% | — | $21.7k – $39.4k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $27.6k | $27.0k | $1.4k | 5% | — | $24.0k – $27.6k |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 15 | $22.5k | $22.4k | $570 | 3% | — | $21.3k – $23.4k |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $23.2k | $22.3k | $1.1k | 5% | — | $20.3k – $23.2k |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $23.7k | $23.6k | $261 | 1% | — | $23.0k – $23.7k |
| 16 | Medicare case rate · outpatient | 8 | $20.5k | $20.7k | $489 | 2% | — | $20.5k – $21.9k |
| 17 | Optum fee schedule · outpatient | 8 | $22.1k | $33.1k | $15.7k | 48% | — | $21.2k – $55.3k |
| 18 | Ambetter case rate · outpatient · +2 other terms | 7 | $36.9k | $37.0k | $326 | 1% | — | $36.9k – $37.8k |
| 19 | Tricare case rate · outpatient · +1 other terms | 7 | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
| 20 | Excellus case rate · outpatient | 5 | $62.5k | $62.9k | $16.1k | 26% | — | $38.8k – $91.5k |
| 21 | Highmark case rate · outpatient | 5 | $27.5k | $39.1k | $14.7k | 38% | — | $27.5k – $64.6k |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $32.6k | $32.8k | $3.3k | 10% | — | $27.3k – $37.6k |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $17.4k | $17.4k | $5.6k | 32% | — | $11.8k – $23.0k |
| 24 | Magellan fee schedule · outpatient | 1 | $21.5k | $21.5k | — | — | — | $21.5k – $21.5k |
| 25 | Medicaid facility · case rate · outpatient | 1 | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
← Hospitals reporting APC 1577 · Snapshot 20261111T120946Z-9134e7f7