APC 5092
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 2 Breast/Lymphatic Surgery and Related Procedures
Low
$5.9k
Average
$14.5k
Median
$9.9k
High
$52.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
39 payers; the 90th percentile is 5.5× 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 162 | $16.8k | $20.3k | $18.5k | 91% | 4,164–6,963 | $18 – $183.9k |
| 2 | Cigna other · outpatient · +6 other terms | 101 | $22.7k | $26.0k | $21.5k | 83% | 555–1,680 | $100 – $121.0k |
| 3 | Excellus case rate · outpatient · +1 other terms | 5 | $18.8k | $19.0k | $4.9k | 26% | 430–439 | $11.7k – $27.6k |
| 4 | Caresource other · outpatient · +3 other terms | 14 | $7.2k | $7.1k | $1.8k | 25% | 59–176 | $2.2k – $10.6k |
| 5 | Medical Mutual other · outpatient · +4 other terms | 13 | $31.6k | $25.7k | $19.6k | 76% | 59–230 | $6.1k – $59.9k |
| 6 | Ambetter facility · other · outpatient · +5 other terms | 14 | $10.4k | $11.5k | $3.2k | 28% | 56–155 | $7.2k – $19.1k |
| 7 | Healthpartners other · outpatient | 2 | $52.7k | $52.7k | $21.4k | 41% | 40–58 | $31.3k – $74.1k |
| 8 | First Health other · outpatient · +3 other terms | 7 | $74.1k | $53.2k | $35.8k | 67% | 7–70 | $10.3k – $93.0k |
| 9 | Medica facility · other · outpatient | 2 | $10.0k | $10.0k | $2.7k | 27% | 4–40 | $7.3k – $12.6k |
| 10 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 3 | $48.5k | $40.1k | $16.6k | 42% | 3–30 | $16.9k – $55k |
| 11 | Medicaid other · outpatient · +1 other terms | 2 | $9.8k | $9.8k | $1.2k | 12% | 2–20 | $8.6k – $10.9k |
| 12 | Highmark case rate · outpatient · +1 other terms | 5 | $8.3k | $11.8k | $4.4k | 38% | 1–10 | $8.3k – $19.5k |
| 13 | Healthcare Highways other · outpatient · +1 other terms | 1 | $29.6k | $29.6k | — | — | 1–10 | $29.6k – $29.6k |
| 14 | Medcost facility · other · outpatient | 1 | $41.9k | $41.9k | — | — | 1–10 | $41.9k – $41.9k |
| 15 | Phcs facility · other · outpatient · +1 other terms | 1 | $4.9k | $4.9k | — | — | 1–10 | $4.9k – $4.9k |
| 16 | Ucare facility · other · outpatient | 1 | $19.1k | $19.1k | — | — | 1–10 | $19.1k – $19.1k |
| 17 | UnitedHealthcare fee schedule · outpatient · +9 other terms | 176 | $6.8k | $6.7k | $572 | 9% | — | $4.0k – $8.6k |
| 18 | Humana fee schedule · outpatient · +8 other terms | 162 | $6.7k | $7.0k | $2.0k | 29% | — | $5.8k – $27.7k |
| 19 | Aetna fee schedule · outpatient · +8 other terms | 156 | $6.8k | $6.9k | $833 | 12% | — | $5.9k – $11.4k |
| 20 | WellCare fee schedule · outpatient · +4 other terms | 132 | $6.9k | $6.9k | $324 | 5% | — | $5.9k – $8.4k |
| 21 | Devoted fee schedule · outpatient · +3 other terms | 122 | $6.7k | $6.7k | $189 | 3% | — | $5.8k – $7.0k |
| 22 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $7.0k | $6.9k | $289 | 4% | — | $6.7k – $7.4k |
| 23 | Molina fee schedule · outpatient · +7 other terms | 69 | $9.8k | $9.5k | $3.7k | 39% | — | $6.3k – $17.5k |
| 24 | Superior Healthplan fee schedule · outpatient | 40 | $7.0k | $7.0k | $4 | 0% | — | $7.0k – $7.0k |
| 25 | Anthem fee schedule · outpatient · +7 other terms | 31 | $7.0k | $6.9k | $407 | 6% | — | $6.3k – $8.5k |
← Hospitals reporting APC 5092 · Snapshot 20261111T120946Z-9134e7f7