APC 4017

Radiation treatment delivery, complexity level

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 lvl

Payers reporting APC 4017

Payer pricing summary

Low

$50

Average

$97

Median

$82

High

$222

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$80	$80	$3	4%	—	$69 – $101
2	Humana fee schedule · outpatient · +1 other terms	148	$78	$82	$24	29%	—	$68 – $325
3	Aetna fee schedule · outpatient · +2 other terms	135	$80	$80	$4	5%	—	$69 – $99
4	WellCare fee schedule · outpatient · +1 other terms	127	$81	$81	$4	5%	—	$70 – $99
5	Devoted fee schedule · outpatient · +1 other terms	122	$78	$78	$2	3%	—	$68 – $82
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$82	$80	$3	4%	—	$78 – $87
7	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	105	$78	$80	$5	6%	—	$68 – $102
8	Molina fee schedule · outpatient	55	$115	$115	$45	39%	—	$74 – $205
9	Superior Healthplan fee schedule · outpatient	40	$82	$82	$0	0%	—	$82 – $82
10	Anthem fee schedule · outpatient	24	$82	$81	$5	6%	—	$74 – $100
11	Oscar fee schedule · outpatient · +1 other terms	24	$77	$80	$4	5%	—	$77 – $85
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$98	$95	$5	5%	—	$85 – $98
13	Clover fee schedule · outpatient	15	$82	$79	$4	5%	—	$72 – $82
14	Kaiser fee schedule · outpatient	13	$84	$84	$0	1%	—	$82 – $84
15	Cigna fee schedule · outpatient · +1 other terms	9	$78	$78	$2	2%	—	$75 – $79
16	Optum fee schedule · outpatient	8	$78	$122	$57	47%	—	$78 – $195
17	Excellus case rate · outpatient	5	$221	$222	$57	26%	—	$137 – $323
18	Highmark case rate · outpatient · +1 other terms	5	$97	$138	$52	38%	—	$97 – $228
19	Medicare facility · fee schedule · outpatient	2	$88	$88	$9	10%	—	$79 – $97
20	Ambetter fee schedule · outpatient	1	$50	$50	$5	10%	—	$44 – $55
21	Magellan fee schedule · outpatient	1	$76	$76	—	—	—	$76 – $76