APC 5061

Hyperbaric oxygen 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

Hyperbaric Oxygen

Payers reporting APC 5061

Payer pricing summary

Low

$72

Average

$2.4k

Median

$563

High

$26.4k

Payer rate distribution

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#
1	Cigna facility · other · outpatient · +6 other terms	31	$21.5k	$33.0k	$30.5k	92%	314–548	$783 – $91k
2	Excellus case rate · outpatient · +1 other terms	5	$391	$393	$101	26%	168	$242 – $572
3	Medical Mutual other · outpatient · +2 other terms	3	$6.5k	$7.3k	$3.0k	41%	138–156	$3.8k – $12.1k
4	Ucare facility · other · outpatient · +2 other terms	2	$652	$652	$72	11%	128	$579 – $724
5	Bcbs Mn other · outpatient	1	$642	$642	$312	49%	104–113	$319 – $1.1k
6	Caresource other · outpatient · +2 other terms	2	$1.3k	$1.3k	$888	71%	103	$363 – $2.1k
7	Carefirst facility · other · outpatient	1	$26.4k	$26.4k	—	—	1–10	$26.4k – $26.4k
8	First Health other · outpatient · +1 other terms	1	$4.4k	$4.4k	—	—	1–10	$4.4k – $4.4k
9	UnitedHealthcare fee schedule · outpatient · +7 other terms	175	$141	$141	$6	4%	—	$123 – $178
10	Humana fee schedule · outpatient · +6 other terms	162	$138	$145	$42	29%	—	$121 – $575
11	Aetna fee schedule · outpatient · +7 other terms	156	$141	$144	$18	13%	—	$122 – $241
12	WellCare fee schedule · outpatient · +4 other terms	132	$142	$143	$7	5%	—	$123 – $174
13	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$138	$144	$26	18%	—	$121 – $405
14	Devoted fee schedule · outpatient · +3 other terms	122	$138	$138	$4	3%	—	$121 – $145
15	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$145	$142	$6	4%	—	$138 – $154
16	Molina fee schedule · outpatient · +5 other terms	69	$204	$198	$76	38%	—	$131 – $363
17	Superior Healthplan fee schedule · outpatient	40	$145	$145	$0	0%	—	$145 – $145
18	Anthem fee schedule · outpatient · +4 other terms	31	$145	$143	$8	6%	—	$131 – $177
19	Oscar fee schedule · outpatient · +3 other terms	28	$143	$161	$53	33%	—	$135 – $382
20	Amerihealth Caritas fee schedule · outpatient · +2 other terms	17	$172	$168	$9	5%	—	$150 – $172
21	Ambetter facility · fee schedule · outpatient · +5 other terms	16	$231	$712	$2.0k	275%	—	$142 – $9.0k
22	Clover fee schedule · outpatient · +3 other terms	15	$145	$139	$7	5%	—	$127 – $145
23	Kaiser fee schedule · outpatient · +4 other terms	15	$148	$147	$2	2%	—	$141 – $148
24	Optum facility · per diem · outpatient · +4 other terms	15	$144	$304	$757	249%	—	$125 – $3.8k
25	Medicare facility · fee schedule · outpatient · +2 other terms	11	$144	$149	$15	10%	—	$123 – $173

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