APC 4007

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; intermediate

Payers reporting APC 4007

Payer pricing summary

Low

$109

Average

$219

Median

$207

High

$365

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$201	$202	$4	2%	—	$199 – $213
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$215	$214	$4	2%	—	$209 – $220
3	Aetna fee schedule · outpatient · +2 other terms	20	$215	$248	$64	26%	—	$209 – $365
4	Molina fee schedule · outpatient · +2 other terms	14	$213	$234	$34	14%	—	$209 – $313
5	Humana fee schedule · outpatient · +2 other terms	13	$209	$211	$3	2%	—	$209 – $220
6	Medicare case rate · outpatient	8	$190	$192	$5	2%	—	$190 – $204
7	Ambetter case rate · outpatient · +2 other terms	7	$342	$343	$3	1%	—	$342 – $351
8	Anthem fee schedule · outpatient · +1 other terms	7	$209	$209	$1	1%	—	$209 – $213
9	Clover case rate · outpatient	7	$198	$198	$2	1%	—	$198 – $203
10	Tricare case rate · outpatient	7	$182	$182	—	—	—	$182 – $182
11	WellCare case rate · outpatient · +1 other terms	7	$203	$204	$2	1%	—	$203 – $208
12	Cigna fee schedule · outpatient	6	$209	$211	$4	2%	—	$209 – $217
13	Oscar fee schedule · outpatient	3	$365	$365	$0	0%	—	$365 – $365
14	Sanford Health Plan case rate · outpatient	3	$302	$304	$31	10%	—	$253 – $348
15	Kaiser fee schedule · outpatient · +1 other terms	2	$213	$213	—	—	—	$213 – $213
16	Aetna Better Health facility · case rate · outpatient	1	$161	$161	$52	32%	—	$109 – $213
17	Medicaid facility · case rate · outpatient	1	$109	$109	—	—	—	$109 – $109
18	Optum fee schedule · outpatient	1	$196	$196	—	—	—	$196 – $196