APC 4006

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>=20; simple

Payers reporting APC 4006

Payer pricing summary

Low

$61

Average

$123

Median

$116

High

$205

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$112	$113	$2	2%	—	$112 – $119
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$120	$120	$2	2%	—	$117 – $123
3	Aetna fee schedule · outpatient · +2 other terms	20	$120	$139	$36	26%	—	$117 – $205
4	Molina fee schedule · outpatient · +2 other terms	14	$119	$131	$19	14%	—	$117 – $175
5	Humana fee schedule · outpatient · +2 other terms	13	$117	$118	$1	1%	—	$117 – $120
6	Medicare case rate · outpatient	8	$106	$108	$3	2%	—	$106 – $114
7	Ambetter case rate · outpatient · +2 other terms	7	$192	$192	$2	1%	—	$192 – $197
8	Anthem fee schedule · outpatient · +1 other terms	7	$117	$117	$1	1%	—	$117 – $119
9	Clover case rate · outpatient	7	$111	$111	$1	1%	—	$111 – $114
10	Tricare case rate · outpatient	7	$102	$102	—	—	—	$102 – $102
11	WellCare case rate · outpatient · +1 other terms	7	$114	$114	$1	1%	—	$114 – $117
12	Cigna fee schedule · outpatient	6	$117	$119	$2	2%	—	$117 – $122
13	Oscar fee schedule · outpatient	3	$205	$205	$0	0%	—	$205 – $205
14	Sanford Health Plan case rate · outpatient	3	$169	$171	$17	10%	—	$142 – $195
15	Kaiser fee schedule · outpatient · +1 other terms	2	$119	$119	—	—	—	$119 – $119
16	Aetna Better Health facility · case rate · outpatient	1	$90	$90	$29	32%	—	$61 – $119
17	Medicaid facility · case rate · outpatient	1	$61	$61	—	—	—	$61 – $61
18	Optum fee schedule · outpatient	1	$110	$110	—	—	—	$110 – $110