APC 4003

Radiation treatment delivery

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Radiation treatment delivery, MeV <= 5; simple

Payers reporting APC 4003

Payer pricing summary

Low

$76

Average

$152

Median

$144

High

$254

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$140	$140	$3	2%	—	$138 – $148
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$149	$148	$2	2%	—	$145 – $152
3	Aetna fee schedule · outpatient · +2 other terms	20	$149	$172	$45	26%	—	$145 – $254
4	Molina fee schedule · outpatient · +2 other terms	14	$148	$162	$23	14%	—	$145 – $218
5	Humana fee schedule · outpatient · +2 other terms	13	$145	$146	$2	1%	—	$145 – $149
6	Medicare case rate · outpatient	8	$132	$134	$3	2%	—	$132 – $142
7	Ambetter case rate · outpatient · +2 other terms	7	$238	$239	$2	1%	—	$238 – $244
8	Anthem fee schedule · outpatient · +1 other terms	7	$145	$146	$1	1%	—	$145 – $148
9	Clover case rate · outpatient	7	$137	$138	$1	1%	—	$137 – $141
10	Tricare case rate · outpatient	7	$127	$127	—	—	—	$127 – $127
11	WellCare case rate · outpatient · +1 other terms	7	$141	$142	$1	1%	—	$141 – $145
12	Cigna fee schedule · outpatient	6	$145	$147	$3	2%	—	$145 – $151
13	Oscar fee schedule · outpatient	3	$254	$254	$0	0%	—	$254 – $254
14	Sanford Health Plan case rate · outpatient	3	$210	$212	$21	10%	—	$176 – $242
15	Kaiser fee schedule · outpatient · +1 other terms	2	$148	$148	—	—	—	$148 – $148
16	Aetna Better Health facility · case rate · outpatient	1	$112	$112	$36	32%	—	$76 – $148
17	Medicaid facility · case rate · outpatient	1	$76	$76	—	—	—	$76 – $76
18	Optum fee schedule · outpatient	1	$137	$137	—	—	—	$137 – $137