APC 5091
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.
Original text from hospital filings
Level 1 Breast/Lymphatic Surgery and Related Procedures
Low
$2.3k
Average
$7.3k
Median
$5.6k
High
$30.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 3.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 183 | $10.1k | $10.8k | $8.0k | 74% | 7,350–11,004 | $45 – $54.6k |
| 2 | UnitedHealthcare other · outpatient · +9 other terms | 181 | $7.2k | $9.1k | $7.2k | 79% | 2,899–5,491 | $431 – $47.3k |
| 3 | Aetna other · outpatient · +9 other terms | 159 | $7.3k | $9.5k | $8.9k | 94% | 2,079–4,086 | $6 – $53.2k |
| 4 | Cigna other · outpatient · +6 other terms | 116 | $13.5k | $17.2k | $14.5k | 84% | 977–2,228 | $228 – $71.2k |
| 5 | Excellus case rate · outpatient · +1 other terms | 5 | $11.1k | $11.2k | $2.9k | 26% | 421–439 | $6.9k – $16.3k |
| 6 | Medical Mutual other · outpatient · +4 other terms | 20 | $15.7k | $14.0k | $11.7k | 84% | 162–459 | $3.0k – $42.0k |
| 7 | Healthpartners other · outpatient | 3 | $14.8k | $14.1k | $2.3k | 16% | 97–142 | $8.7k – $16.4k |
| 8 | Caresource other · outpatient · +3 other terms | 24 | $3.7k | $4.3k | $3.4k | 78% | 83–290 | $1.2k – $18.9k |
| 9 | Ambetter facility · other · outpatient · +5 other terms | 21 | $6.3k | $7.1k | $2.6k | 37% | 53–224 | $3.6k – $13.7k |
| 10 | Highmark facility · other · outpatient · +2 other terms | 7 | $6.4k | $6.7k | $2.6k | 39% | 7–70 | $2.8k – $13.0k |
| 11 | Ucare facility · other · outpatient · +1 other terms | 3 | $5.7k | $5.5k | $1.6k | 29% | 7–70 | $3.5k – $6.8k |
| 12 | First Health other · outpatient · +1 other terms | 6 | $14.4k | $15.2k | $7.4k | 49% | 6–60 | $4.7k – $29.9k |
| 13 | Carefirst facility · other · outpatient | 1 | $3.3k | $3.3k | $404 | 12% | 2–20 | $2.9k – $3.7k |
| 14 | Healthcare Highways other · outpatient | 1 | $19.6k | $19.6k | — | — | 1–10 | $19.6k – $19.6k |
| 15 | Medicaid other · outpatient · +1 other terms | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 16 | MultiPlan other · outpatient · +2 other terms | 1 | $61.1k | $61.1k | — | — | 1–10 | $61.1k – $61.1k |
| 17 | Phcs other · outpatient · +2 other terms | 1 | $8.3k | $8.3k | — | — | 1–10 | $8.3k – $8.3k |
| 18 | Humana fee schedule · outpatient · +8 other terms | 162 | $3.9k | $4.1k | $1.2k | 28% | — | $3.4k – $16.4k |
| 19 | WellCare fee schedule · outpatient · +5 other terms | 132 | $4.1k | $4.1k | $192 | 5% | — | $3.5k – $5.0k |
| 20 | Devoted fee schedule · outpatient · +3 other terms | 122 | $3.9k | $3.9k | $111 | 3% | — | $3.4k – $4.1k |
| 21 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $4.1k | $4.0k | $170 | 4% | — | $3.9k – $4.4k |
| 22 | Molina fee schedule · outpatient · +7 other terms | 69 | $5.8k | $5.6k | $2.2k | 39% | — | $3.7k – $10.3k |
| 23 | Superior Healthplan fee schedule · outpatient | 40 | $4.1k | $4.1k | $2 | 0% | — | $4.1k – $4.1k |
| 24 | Anthem fee schedule · outpatient · +8 other terms | 31 | $4.1k | $4.0k | $243 | 6% | — | $3.7k – $5.0k |
| 25 | Oscar fee schedule · outpatient · +4 other terms | 28 | $4.1k | $5.0k | $2.0k | 41% | — | $3.9k – $10.6k |
← Hospitals reporting APC 5091 · Snapshot 20261111T120946Z-9134e7f7