APC 4019

Radiation treatment delivery, one 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 4019

Payer pricing summary

Low

$244

Average

$475

Median

$404

High

$1.1k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +2 other terms	153	$393	$392	$17	4%	—	$341 – $495
2	Humana fee schedule · outpatient · +1 other terms	148	$385	$406	$119	29%	—	$336 – $1.6k
3	Aetna fee schedule · outpatient · +2 other terms	135	$392	$392	$18	5%	—	$340 – $488
4	WellCare fee schedule · outpatient · +1 other terms	127	$396	$398	$19	5%	—	$343 – $485
5	Devoted fee schedule · outpatient · +1 other terms	122	$385	$385	$11	3%	—	$336 – $404
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$404	$396	$17	4%	—	$385 – $428
7	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	105	$385	$396	$23	6%	—	$336 – $503
8	Molina fee schedule · outpatient	55	$568	$566	$219	39%	—	$364 – $1.0k
9	Superior Healthplan fee schedule · outpatient	40	$404	$404	$0	0%	—	$404 – $405
10	Anthem fee schedule · outpatient	24	$404	$401	$24	6%	—	$364 – $493
11	Oscar fee schedule · outpatient · +1 other terms	24	$377	$395	$21	5%	—	$377 – $420
12	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$480	$469	$24	5%	—	$418 – $480
13	Clover fee schedule · outpatient	15	$404	$387	$19	5%	—	$353 – $404
14	Kaiser fee schedule · outpatient	13	$412	$412	$2	1%	—	$404 – $412
15	Cigna fee schedule · outpatient · +1 other terms	9	$385	$385	$8	2%	—	$370 – $391
16	Optum fee schedule · outpatient	8	$385	$601	$280	47%	—	$384 – $962
17	Excellus case rate · outpatient	5	$1.1k	$1.1k	$280	26%	—	$674 – $1.6k
18	Highmark case rate · outpatient · +1 other terms	5	$478	$680	$255	38%	—	$478 – $1.1k
19	Medicare facility · fee schedule · outpatient	2	$434	$434	$45	10%	—	$389 – $478
20	Ambetter fee schedule · outpatient	1	$244	$244	$25	10%	—	$219 – $269
21	Magellan fee schedule · outpatient	1	$374	$374	—	—	—	$374 – $374