APC 4010

Radiation therapy 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; intermediate

Payers reporting APC 4010

Payer pricing summary

Low

$84

Average

$169

Median

$160

High

$281

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$155	$155	$3	2%	—	$153 – $164
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$166	$165	$3	2%	—	$161 – $169
3	Aetna fee schedule · outpatient · +2 other terms	20	$166	$191	$50	26%	—	$161 – $281
4	Molina fee schedule · outpatient · +2 other terms	14	$164	$180	$26	14%	—	$161 – $241
5	Humana fee schedule · outpatient · +2 other terms	13	$161	$162	$2	1%	—	$161 – $166
6	Medicare case rate · outpatient	8	$146	$148	$3	2%	—	$146 – $157
7	Ambetter case rate · outpatient · +2 other terms	7	$263	$264	$2	1%	—	$263 – $270
8	Anthem fee schedule · outpatient · +1 other terms	7	$161	$161	$1	1%	—	$161 – $164
9	Clover case rate · outpatient	7	$152	$153	$1	1%	—	$152 – $156
10	Tricare case rate · outpatient	7	$140	$140	—	—	—	$140 – $140
11	WellCare case rate · outpatient · +1 other terms	7	$157	$157	$1	1%	—	$157 – $161
12	Cigna fee schedule · outpatient	6	$161	$163	$3	2%	—	$161 – $167
13	Oscar fee schedule · outpatient	3	$281	$281	$0	0%	—	$281 – $281
14	Sanford Health Plan case rate · outpatient	3	$233	$235	$24	10%	—	$195 – $268
15	Kaiser fee schedule · outpatient · +1 other terms	2	$164	$164	—	—	—	$164 – $164
16	Aetna Better Health facility · case rate · outpatient	1	$124	$124	$40	32%	—	$84 – $164
17	Medicaid facility · case rate · outpatient	1	$84	$84	—	—	—	$84 – $84
18	Optum fee schedule · outpatient	1	$151	$151	—	—	—	$151 – $151