APC 5101

Strapping or casting, level 1

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

Level 1 Strapping and Cast Application

Payers reporting APC 5101

Payer pricing summary

Low

$132

Average

$550

Median

$347

High

$3.6k

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield other · outpatient · +8 other terms	157	$705	$1.3k	$2.3k	181%	5,793–8,106	$9 – $34.6k
2	Caresource other · outpatient · +2 other terms	24	$196	$392	$904	230%	794–983	$67 – $5.6k
3	Excellus case rate · outpatient · +1 other terms	5	$461	$464	$119	26%	658–676	$286 – $675
4	Cigna other · outpatient · +6 other terms	68	$934	$2.0k	$4.3k	217%	653–1,319	$16 – $39.1k
5	Bcbs Mi other · outpatient · +1 other terms	3	$330	$346	$36	10%	437–446	$307 – $400
6	Medical Mutual other · outpatient · +4 other terms	21	$667	$1.3k	$2.1k	166%	418–661	$60 – $13.2k
7	Bcbs Mn other · outpatient · +1 other terms	1	$199	$199	$79	40%	178–187	$135 – $310
8	Ucare facility · other · outpatient · +2 other terms	4	$218	$239	$70	29%	53–89	$163 – $392
9	Highmark facility · other · outpatient · +2 other terms	7	$265	$270	$104	38%	5–50	$170 – $726
10	First Health other · outpatient · +3 other terms	5	$896	$1.5k	$1.5k	101%	5–50	$50 – $4.4k
11	Medicaid other · outpatient · +1 other terms	4	$294	$344	$134	39%	4–40	$222 – $567
12	MultiPlan other · outpatient · +2 other terms	2	$229	$229	—	—	2–20	$229 – $229
13	Carefirst facility · other · outpatient	1	$3.6k	$3.6k	—	—	1–10	$3.6k – $3.6k
14	Healthpartners other · outpatient · +2 other terms	1	$630	$630	—	—	1–10	$630 – $630
15	Phcs facility · percent of total billed charges · outpatientfrom % of charges	1	$309	$309	—	—	1–10	$309 – $309
16	UnitedHealthcare fee schedule · outpatient · +8 other terms	176	$167	$236	$292	124%	—	$145 – $1.5k
17	Humana fee schedule · outpatient · +7 other terms	162	$163	$170	$48	28%	—	$143 – $679
18	Aetna fee schedule · outpatient · +8 other terms	156	$166	$168	$19	12%	—	$144 – $276
19	WellCare fee schedule · outpatient · +4 other terms	132	$168	$168	$8	5%	—	$145 – $206
20	Devoted fee schedule · outpatient · +3 other terms	122	$163	$163	$5	3%	—	$143 – $171
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$171	$168	$7	4%	—	$163 – $182
22	Molina fee schedule · outpatient · +6 other terms	69	$240	$233	$90	39%	—	$154 – $428
23	Superior Healthplan fee schedule · outpatient	40	$171	$171	$0	0%	—	$171 – $172
24	Anthem fee schedule · outpatient · +4 other terms	31	$171	$168	$10	6%	—	$154 – $209
25	Oscar fee schedule · outpatient · +4 other terms	27	$160	$180	$35	20%	—	$160 – $276

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