APC 2643
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
Brachytx, non-stranded,C-131
Low
$51
Average
$123
Median
$106
High
$283
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
26 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 174 | $101 | $101 | $2 | 2% | — | $80 – $105 |
| 2 | Humana fee schedule · outpatient · +3 other terms | 161 | $100 | $104 | $29 | 28% | — | $80 – $399 |
| 3 | Aetna fee schedule · outpatient · +4 other terms | 155 | $101 | $103 | $12 | 12% | — | $80 – $169 |
| 4 | WellCare fee schedule · outpatient · +2 other terms | 131 | $103 | $104 | $4 | 4% | — | $97 – $132 |
| 5 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 126 | $100 | $102 | $14 | 14% | — | $97 – $246 |
| 6 | Devoted fee schedule · outpatient · +1 other terms | 122 | $100 | $100 | $0 | 0% | — | $100 – $105 |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $104 | $102 | $3 | 3% | — | $100 – $108 |
| 8 | Molina fee schedule · outpatient · +2 other terms | 69 | $147 | $143 | $55 | 39% | — | $97 – $261 |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $105 | $105 | — | — | — | $105 – $105 |
| 10 | Anthem fee schedule · outpatient · +1 other terms | 31 | $100 | $100 | $2 | 2% | — | $97 – $103 |
| 11 | Oscar fee schedule · outpatient | 27 | $98 | $108 | $22 | 20% | — | $98 – $169 |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $120 | $119 | $2 | 2% | — | $114 – $120 |
| 13 | Cigna fee schedule · outpatient · +1 other terms | 16 | $102 | $102 | $4 | 4% | — | $97 – $110 |
| 14 | Clover fee schedule · outpatient · +1 other terms | 15 | $105 | $105 | — | — | — | $105 – $105 |
| 15 | Kaiser fee schedule · outpatient · +1 other terms | 15 | $102 | $101 | $1 | 1% | — | $98 – $102 |
| 16 | Tricare facility · fee schedule · outpatient · +1 other terms | 14 | $97 | $100 | $5 | 5% | — | $96 – $110 |
| 17 | Ambetter case rate · outpatient · +3 other terms | 12 | $174 | $208 | $41 | 19% | — | $174 – $256 |
| 18 | Highmark facility · fee schedule · outpatient · +1 other terms | 10 | $179 | $174 | $72 | 41% | — | $98 – $280 |
| 19 | Optum facility · fee schedule · outpatient · +1 other terms | 9 | $100 | $101 | $5 | 5% | — | $96 – $110 |
| 20 | Medicare case rate · outpatient · +1 other terms | 8 | $97 | $97 | — | — | — | $97 – $97 |
| 21 | Excellus case rate · outpatient | 5 | $173 | $154 | $60 | 39% | — | $100 – $276 |
| 22 | Sanford Health Plan case rate · outpatient | 3 | $140 | $141 | $14 | 10% | — | $117 – $161 |
| 23 | Aetna Better Health facility · case rate · outpatient | 1 | $75 | $75 | $24 | 32% | — | $51 – $98 |
| 24 | Bcbs Tx fee schedule · outpatient | 1 | $229 | $229 | $21 | 9% | — | $203 – $254 |
| 25 | Magellan fee schedule · outpatient | 1 | $100 | $100 | — | — | — | $100 – $100 |
← Hospitals reporting APC 2643 · Snapshot 20261111T120946Z-9134e7f7