APC 4013

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, 11-19 MeV; complex

Payers reporting APC 4013

Payer pricing summary

Low

$112

Average

$226

Median

$213

High

$376

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$207	$207	$4	2%	—	$205 – $219
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$221	$220	$4	2%	—	$215 – $226
3	Aetna fee schedule · outpatient · +2 other terms	20	$221	$255	$66	26%	—	$215 – $376
4	Molina fee schedule · outpatient · +2 other terms	14	$219	$240	$35	14%	—	$215 – $322
5	Humana fee schedule · outpatient · +2 other terms	13	$215	$217	$3	1%	—	$215 – $221
6	Medicare case rate · outpatient	8	$196	$198	$5	2%	—	$196 – $209
7	Ambetter case rate · outpatient · +2 other terms	7	$352	$353	$3	1%	—	$352 – $361
8	Anthem fee schedule · outpatient · +1 other terms	7	$215	$215	$2	1%	—	$215 – $219
9	Clover case rate · outpatient	7	$203	$204	$2	1%	—	$203 – $208
10	Tricare case rate · outpatient	7	$188	$188	—	—	—	$188 – $188
11	WellCare case rate · outpatient · +1 other terms	7	$209	$210	$2	1%	—	$209 – $214
12	Cigna fee schedule · outpatient	6	$215	$218	$4	2%	—	$215 – $223
13	Oscar fee schedule · outpatient	3	$376	$376	$0	0%	—	$376 – $376
14	Sanford Health Plan case rate · outpatient	3	$311	$313	$32	10%	—	$260 – $358
15	Kaiser fee schedule · outpatient · +1 other terms	2	$219	$219	—	—	—	$219 – $219
16	Aetna Better Health facility · case rate · outpatient	1	$166	$166	$53	32%	—	$112 – $219
17	Medicaid facility · case rate · outpatient	1	$112	$112	—	—	—	$112 – $112
18	Optum fee schedule · outpatient	1	$202	$202	—	—	—	$202 – $202