APC 5094
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 4 Breast/Lymphatic Surgery and Related Procedures
Low
$9.1k
Average
$26.2k
Median
$19.7k
High
$82.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
33 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.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Cigna other · outpatient · +6 other terms | 50 | $49.9k | $56.3k | $35.1k | 62% | 103–688 | $350 – $154.7k |
| 2 | Excellus case rate · outpatient · +1 other terms | 5 | $39.1k | $39.3k | $10.1k | 26% | 99–126 | $24.3k – $57.3k |
| 3 | Medical Mutual other · outpatient · +2 other terms | 5 | $69.5k | $80.0k | $27.0k | 34% | 22–76 | $44.3k – $123.3k |
| 4 | Caresource other · outpatient · +2 other terms | 8 | $9.7k | $11.0k | $4.5k | 41% | 9–90 | $5.7k – $21.4k |
| 5 | Healthpartners other · outpatient | 2 | $68.1k | $68.1k | $24.0k | 35% | 6–60 | $34.3k – $87.3k |
| 6 | First Health other · outpatient · +1 other terms | 2 | $119.3k | $119.3k | — | — | 2–20 | $119.3k – $119.3k |
| 7 | Medica facility · other · outpatient | 2 | $18.8k | $18.8k | — | — | 2–20 | $18.8k – $18.8k |
| 8 | Carefirst facility · other · outpatient | 1 | $46.1k | $46.1k | — | — | 1–10 | $46.1k – $46.1k |
| 9 | Ucare facility · other · outpatient | 1 | $17.5k | $17.5k | — | — | 1–10 | $17.5k – $17.5k |
| 10 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 176 | $14.2k | $14.4k | $1.3k | 9% | — | $6.8k – $18.3k |
| 11 | Humana fee schedule · outpatient · +5 other terms | 162 | $14.1k | $14.7k | $4.2k | 29% | — | $12.1k – $57.6k |
| 12 | Aetna fee schedule · outpatient · +5 other terms | 156 | $14.4k | $14.9k | $3.0k | 20% | — | $12.2k – $30.4k |
| 13 | WellCare fee schedule · outpatient · +3 other terms | 132 | $14.3k | $14.4k | $808 | 6% | — | $12.3k – $18.3k |
| 14 | Blue Cross Blue Shield fee schedule · outpatient · +7 other terms | 127 | $14.7k | $15.5k | $6.9k | 44% | — | $12.1k – $97.5k |
| 15 | Devoted fee schedule · outpatient · +3 other terms | 122 | $13.8k | $13.9k | $392 | 3% | — | $12.1k – $14.5k |
| 16 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $14.5k | $14.2k | $600 | 4% | — | $13.8k – $15.4k |
| 17 | Molina fee schedule · outpatient · +5 other terms | 69 | $20.4k | $20.3k | $7.5k | 37% | — | $13.1k – $36.3k |
| 18 | Superior Healthplan fee schedule · outpatient | 40 | $14.5k | $14.5k | $9 | 0% | — | $14.5k – $14.6k |
| 19 | Anthem fee schedule · outpatient · +4 other terms | 31 | $14.5k | $15.1k | $1.5k | 10% | — | $13.1k – $17.7k |
| 20 | Oscar fee schedule · outpatient · +4 other terms | 27 | $13.6k | $16.0k | $5.2k | 32% | — | $13.6k – $30.4k |
| 21 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $18.7k | $18.1k | $1.4k | 8% | — | $15.0k – $18.7k |
| 22 | Clover fee schedule · outpatient · +2 other terms | 15 | $14.5k | $13.9k | $692 | 5% | — | $12.7k – $14.5k |
| 23 | Kaiser fee schedule · outpatient · +4 other terms | 15 | $14.8k | $15.2k | $975 | 6% | — | $14.5k – $17.7k |
| 24 | Ambetter case rate · outpatient · +5 other terms | 12 | $28.9k | $33.3k | $5.6k | 17% | — | $28.5k – $39.9k |
| 25 | Optum facility · per diem · outpatient · +4 other terms | 11 | $14.6k | $14.6k | $697 | 5% | — | $12.4k – $16.8k |
← Hospitals reporting APC 5094 · Snapshot 20261111T120946Z-9134e7f7