APC 4015

Intensity-modulated radiation therapy 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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Radiation tx delivery imrt

Payers reporting APC 4015

Payer pricing summary

Low

$174

Average

$350

Median

$331

High

$583

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$321	$322	$7	2%	—	$318 – $340
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$343	$341	$6	2%	—	$333 – $350
3	Aetna fee schedule · outpatient · +2 other terms	20	$343	$395	$103	26%	—	$333 – $583
4	Molina fee schedule · outpatient · +2 other terms	14	$340	$373	$54	14%	—	$333 – $500
5	Humana fee schedule · outpatient · +2 other terms	13	$333	$336	$4	1%	—	$333 – $343
6	Medicare case rate · outpatient	8	$303	$307	$7	2%	—	$303 – $325
7	Ambetter case rate · outpatient · +2 other terms	7	$546	$548	$5	1%	—	$546 – $560
8	Anthem fee schedule · outpatient · +1 other terms	7	$333	$334	$2	1%	—	$333 – $340
9	Clover case rate · outpatient	7	$316	$317	$3	1%	—	$316 – $324
10	Tricare case rate · outpatient	7	$291	$291	—	—	—	$291 – $291
11	WellCare case rate · outpatient · +1 other terms	7	$325	$326	$3	1%	—	$325 – $333
12	Cigna fee schedule · outpatient	6	$333	$338	$6	2%	—	$333 – $347
13	Oscar fee schedule · outpatient	3	$583	$583	$0	0%	—	$583 – $583
14	Sanford Health Plan case rate · outpatient	3	$483	$486	$49	10%	—	$404 – $556
15	Kaiser fee schedule · outpatient · +1 other terms	2	$340	$340	—	—	—	$340 – $340
16	Aetna Better Health facility · case rate · outpatient	1	$257	$257	$83	32%	—	$174 – $340
17	Medicaid facility · case rate · outpatient	1	$174	$174	—	—	—	$174 – $174
18	Optum fee schedule · outpatient	1	$314	$314	—	—	—	$314 – $314