APC 5162

Level 2 ENT Procedures

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.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting APC 5162

Payer pricing summary

Low

$266

Average

$1.5k

Median

$797

High

$12.8k

Payer rate distribution

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#
1	Caresource other · outpatient · +3 other terms	7	$985	$883	$576	65%	68–131	$109 – $1.7k
2	Excellus case rate · outpatient · +1 other terms	5	$1.5k	$1.5k	$394	26%	68–86	$949 – $2.2k
3	Cigna other · outpatient · +6 other terms	36	$2.4k	$4.4k	$5.2k	119%	43–430	$56 – $25k
4	Medical Mutual other · outpatient · +4 other terms	7	$1.3k	$3.6k	$5.3k	146%	8–80	$159 – $14.3k
5	Ucare facility · other · outpatient · +2 other terms	2	$678	$678	$8	1%	4–40	$670 – $686
6	Medica facility · other · outpatient · +1 other terms	3	$5.8k	$4.1k	$2.3k	57%	3–30	$811 – $5.8k
7	Highmark case rate · outpatient · +2 other terms	5	$673	$957	$359	38%	2–20	$673 – $1.6k
8	Bcbs Mn other · outpatient	1	$503	$503	—	—	1–10	$503 – $503
9	Healthcare Highways other · outpatient	1	$12.8k	$12.8k	—	—	1–10	$12.8k – $12.8k
10	Healthpartners other · outpatient · +1 other terms	1	$521	$521	—	—	1–10	$521 – $521
11	MultiPlan other · outpatient · +1 other terms	1	$908	$908	—	—	1–10	$908 – $908
12	UnitedHealthcare fee schedule · outpatient · +8 other terms	175	$553	$627	$253	40%	—	$480 – $1.5k
13	Humana fee schedule · outpatient · +8 other terms	161	$542	$568	$164	29%	—	$473 – $2.3k
14	Aetna fee schedule · outpatient · +8 other terms	155	$552	$558	$64	11%	—	$478 – $891
15	WellCare fee schedule · outpatient · +4 other terms	131	$558	$560	$27	5%	—	$483 – $683
16	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	127	$542	$573	$203	35%	—	$473 – $3.0k
17	Devoted fee schedule · outpatient · +3 other terms	122	$542	$542	$15	3%	—	$473 – $569
18	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$569	$557	$23	4%	—	$542 – $603
19	Molina fee schedule · outpatient · +7 other terms	69	$798	$772	$301	39%	—	$509 – $1.4k
20	Superior Healthplan fee schedule · outpatient	40	$569	$569	$0	0%	—	$569 – $570
21	Anthem fee schedule · outpatient · +7 other terms	31	$569	$553	$37	7%	—	$509 – $694
22	Oscar fee schedule · outpatient · +5 other terms	27	$531	$593	$109	18%	—	$531 – $891
23	Medicare facility · fee schedule · outpatient · +2 other terms	20	$591	$1.7k	$2.0k	118%	—	$215 – $8.7k
24	Amerihealth Caritas fee schedule · outpatient · +2 other terms	17	$732	$707	$55	8%	—	$588 – $732
25	Optum facility · per diem · outpatient · +4 other terms	16	$567	$574	$21	4%	—	$487 – $611

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