APC 4009

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, 11-19 MeV; intermediate

Payers reporting APC 4009

Payer pricing summary

Low

$85

Average

$172

Median

$162

High

$286

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$157	$158	$3	2%	—	$156 – $167
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$168	$167	$3	2%	—	$163 – $171
3	Aetna fee schedule · outpatient · +2 other terms	20	$168	$194	$51	26%	—	$163 – $286
4	Molina fee schedule · outpatient · +2 other terms	14	$167	$183	$26	14%	—	$163 – $245
5	Humana fee schedule · outpatient · +2 other terms	13	$163	$165	$2	1%	—	$163 – $168
6	Medicare case rate · outpatient	8	$149	$150	$4	2%	—	$149 – $159
7	Ambetter case rate · outpatient · +2 other terms	7	$268	$269	$2	1%	—	$268 – $274
8	Anthem fee schedule · outpatient · +1 other terms	7	$163	$164	$1	1%	—	$163 – $167
9	Clover case rate · outpatient	7	$155	$155	$1	1%	—	$155 – $159
10	Tricare case rate · outpatient	7	$143	$143	—	—	—	$143 – $143
11	WellCare case rate · outpatient · +1 other terms	7	$159	$160	$1	1%	—	$159 – $163
12	Cigna fee schedule · outpatient	6	$163	$166	$3	2%	—	$163 – $170
13	Oscar fee schedule · outpatient	3	$286	$286	$0	0%	—	$286 – $286
14	Sanford Health Plan case rate · outpatient	3	$237	$238	$24	10%	—	$198 – $273
15	Kaiser fee schedule · outpatient · +1 other terms	2	$167	$167	—	—	—	$167 – $167
16	Aetna Better Health facility · case rate · outpatient	1	$126	$126	$41	32%	—	$85 – $167
17	Medicaid facility · case rate · outpatient	1	$85	$85	—	—	—	$85 – $85
18	Optum fee schedule · outpatient	1	$154	$154	—	—	—	$154 – $154