APC 4016

Delivery with intensity-modulated radiation therapy

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

Delivery comp imrt

Payers reporting APC 4016

Payer pricing summary

Low

$174

Average

$349

Median

$330

High

$581

Payer rate distribution

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#
1	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	21	$319	$321	$7	2%	—	$317 – $339
2	UnitedHealthcare fee schedule · outpatient · +2 other terms	21	$342	$340	$6	2%	—	$332 – $349
3	Aetna fee schedule · outpatient · +2 other terms	20	$342	$394	$103	26%	—	$332 – $581
4	Molina fee schedule · outpatient · +2 other terms	14	$339	$372	$53	14%	—	$332 – $498
5	Humana fee schedule · outpatient · +2 other terms	13	$332	$335	$4	1%	—	$332 – $342
6	Medicare case rate · outpatient	8	$302	$306	$7	2%	—	$302 – $324
7	Ambetter case rate · outpatient · +2 other terms	7	$544	$546	$5	1%	—	$544 – $558
8	Anthem fee schedule · outpatient · +1 other terms	7	$332	$333	$2	1%	—	$332 – $339
9	Clover case rate · outpatient	7	$314	$316	$3	1%	—	$314 – $322
10	Tricare case rate · outpatient	7	$290	$290	—	—	—	$290 – $290
11	WellCare case rate · outpatient · +1 other terms	7	$323	$325	$3	1%	—	$323 – $332
12	Cigna fee schedule · outpatient	6	$332	$336	$6	2%	—	$332 – $345
13	Oscar fee schedule · outpatient	3	$581	$581	$0	0%	—	$581 – $581
14	Sanford Health Plan case rate · outpatient	3	$481	$484	$49	10%	—	$402 – $554
15	Kaiser fee schedule · outpatient · +1 other terms	2	$339	$339	—	—	—	$339 – $339
16	Aetna Better Health facility · case rate · outpatient	1	$256	$256	$83	32%	—	$174 – $339
17	Medicaid facility · case rate · outpatient	1	$174	$174	—	—	—	$174 – $174
18	Optum fee schedule · outpatient	1	$312	$312	—	—	—	$312 – $312