APC 2636
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
Brachy linear, non-str,P-
Low
$28
Average
$89
Median
$89
High
$154
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 payers; the 90th percentile is 1.8× 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 · +3 other terms | 174 | $90 | $87 | $10 | 11% | — | $53 – $94 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $89 | $91 | $27 | 29% | — | $53 – $358 |
| 3 | Aetna fee schedule · outpatient · +3 other terms | 155 | $90 | $87 | $11 | 13% | — | $53 – $98 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $92 | $92 | $6 | 6% | — | $53 – $118 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +3 other terms | 126 | $89 | $86 | $15 | 18% | — | $53 – $165 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $89 | $89 | $0 | 0% | — | $89 – $94 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $93 | $91 | $3 | 3% | — | $89 – $97 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $132 | $123 | $53 | 43% | — | $53 – $234 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $94 | $94 | — | — | — | $94 – $94 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $89 | $82 | $15 | 19% | — | $53 – $92 |
| 11 | Oscar fee schedule · outpatient | 27 | $88 | $91 | $3 | 3% | — | $88 – $94 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $107 | $106 | $2 | 2% | — | $102 – $107 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $91 | $77 | $19 | 25% | — | $53 – $97 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $94 | $94 | — | — | — | $94 – $94 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $91 | $86 | $12 | 14% | — | $54 – $91 |
| 16 | Ambetter case rate · outpatient · +3 other terms | 12 | $95 | $106 | $13 | 12% | — | $95 – $121 |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 12 | $89 | $76 | $20 | 26% | — | $53 – $98 |
| 18 | Highmark facility · fee schedule · outpatient · +1 other terms | 10 | $162 | $162 | $66 | 40% | — | $88 – $252 |
| 19 | Optum facility · fee schedule · outpatient · +1 other terms | 10 | $90 | $91 | $4 | 5% | — | $86 – $98 |
| 20 | Medicare case rate · outpatient · +2 other terms | 8 | $53 | $53 | — | — | — | $53 – $53 |
| 21 | Excellus case rate · outpatient | 5 | $155 | $138 | $54 | 39% | — | $89 – $247 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $77 | $77 | $8 | 10% | — | $64 – $88 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $41 | $41 | $13 | 32% | — | $28 – $54 |
| 24 | Bcbs Tx fee schedule · outpatient | 1 | $86 | $86 | $8 | 9% | — | $76 – $95 |
| 25 | Magellan fee schedule · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
← Hospitals reporting APC 2636 · Snapshot 20261111T120946Z-9134e7f7