APC 4001

Ultrasound-guided radiation therapy

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

Echo guidance radiotherapy

Payers reporting APC 4001

Payer pricing summary

Low

$73

Average

$146

Median

$138

High

$244

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$134	$135	$3	2%	—	$133 – $142
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$144	$143	$2	2%	—	$139 – $146
3	Aetna fee schedule · outpatient · +2 other terms	20	$144	$165	$43	26%	—	$139 – $244
4	Molina fee schedule · outpatient · +2 other terms	14	$142	$156	$22	14%	—	$139 – $209
5	Humana fee schedule · outpatient · +2 other terms	13	$139	$141	$2	1%	—	$139 – $144
6	Medicare case rate · outpatient	8	$127	$128	$3	2%	—	$127 – $136
7	Ambetter case rate · outpatient · +2 other terms	7	$228	$229	$2	1%	—	$228 – $234
8	Anthem fee schedule · outpatient · +1 other terms	7	$139	$140	$1	1%	—	$139 – $142
9	Clover case rate · outpatient	7	$132	$132	$1	1%	—	$132 – $135
10	Tricare case rate · outpatient	7	$122	$122	—	—	—	$122 – $122
11	WellCare case rate · outpatient · +1 other terms	7	$136	$136	$1	1%	—	$136 – $139
12	Cigna fee schedule · outpatient	6	$139	$141	$3	2%	—	$139 – $145
13	Oscar fee schedule · outpatient	3	$244	$244	$0	0%	—	$244 – $244
14	Sanford Health Plan case rate · outpatient	3	$202	$203	$21	10%	—	$169 – $233
15	Kaiser fee schedule · outpatient · +1 other terms	2	$142	$142	—	—	—	$142 – $142
16	Aetna Better Health facility · case rate · outpatient	1	$108	$108	$35	32%	—	$73 – $142
17	Medicaid facility · case rate · outpatient	1	$73	$73	—	—	—	$73 – $73
18	Optum fee schedule · outpatient	1	$131	$131	—	—	—	$131 – $131