APC 1690
Low
$18
Average
$225
Median
$37
High
$3.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
28 payers; the 90th percentile is 9.6× 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 · +4 other terms | 174 | $36 | $36 | $1 | 2% | — | $33 – $37 |
| 2 | Humana fee schedule · outpatient · +5 other terms | 161 | $35 | $37 | $10 | 27% | — | $33 – $141 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $36 | $36 | $4 | 11% | — | $33 – $58 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $36 | $37 | $1 | 4% | — | $33 – $47 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +5 other terms | 126 | $36 | $36 | $1 | 3% | — | $32 – $48 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $35 | $35 | $0 | 0% | — | $35 – $37 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $37 | $36 | $1 | 3% | — | $35 – $39 |
| 8 | Molina fee schedule · outpatient · +3 other terms | 69 | $52 | $50 | $20 | 39% | — | $33 – $93 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $37 | $37 | $0 | 0% | — | $37 – $38 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $35 | $35 | $1 | 3% | — | $33 – $36 |
| 11 | Oscar fee schedule · outpatient · +2 other terms | 27 | $35 | $38 | $7 | 19% | — | $35 – $58 |
| 12 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $42 | $42 | $1 | 1% | — | $41 – $42 |
| 13 | Cigna fee schedule · outpatient · +2 other terms | 17 | $36 | $38 | $11 | 30% | — | $33 – $84 |
| 14 | Clover fee schedule · outpatient · +3 other terms | 15 | $37 | $37 | $0 | 0% | — | $37 – $38 |
| 15 | Kaiser fee schedule · outpatient · +2 other terms | 15 | $36 | $36 | $1 | 2% | — | $34 – $36 |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $62 | $67 | $6 | 9% | — | $62 – $74 |
| 17 | Medicare facility · fee schedule · outpatient · +2 other terms | 10 | $35 | $35 | $0 | 1% | — | $35 – $36 |
| 18 | Optum fee schedule · outpatient · +3 other terms | 8 | $36 | $53 | $25 | 48% | — | $34 – $90 |
| 19 | Highmark case rate · outpatient · +2 other terms | 5 | $34 | $46 | $16 | 35% | — | $34 – $75 |
| 20 | Tricare facility · fee schedule · outpatient | 5 | $34 | $34 | — | — | — | $34 – $34 |
| 21 | Excellus case rate · outpatient | 4 | $47 | $48 | $17 | 37% | — | $34 – $77 |
| 22 | Bcbs Nj facility · other · outpatient | 3 | $35 | $35 | — | — | — | $35 – $35 |
| 23 | Sanford Health Plan case rate · outpatient | 3 | $50 | $50 | $5 | 10% | — | $41 – $57 |
| 24 | Magellan facility · fee schedule · outpatient · +1 other terms | 2 | $37 | $37 | — | — | — | $37 – $37 |
| 25 | Medica facility · fee schedule · outpatient | 2 | $37 | $37 | — | — | — | $37 – $37 |
← Hospitals reporting APC 1690 · Snapshot 20261111T120946Z-9134e7f7