APC 5163
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 3 ENT Procedures
Low
$106
Average
$2.8k
Median
$2.2k
High
$6.9k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
41 payers; the 90th percentile is 3.4× 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 | Cigna other · outpatient · +6 other terms | 82 | $5.5k | $6.9k | $5.4k | 78% | 238–1,030 | $100 – $28.4k |
| 2 | Caresource other · outpatient · +3 other terms | 19 | $1.6k | $1.8k | $1.0k | 55% | 126–270 | $821 – $5.9k |
| 3 | Excellus facility · other · outpatient · +1 other terms | 6 | $2.7k | $2.9k | $1.7k | 57% | 87–168 | $1.5k – $6.8k |
| 4 | Medical Mutual other · outpatient · +4 other terms | 16 | $8.0k | $7.5k | $5.9k | 78% | 35–188 | $1.4k – $27.6k |
| 5 | Highmark facility · other · outpatient · +2 other terms | 8 | $2.5k | $2.5k | $861 | 34% | 6–60 | $1.6k – $3.4k |
| 6 | First Health other · outpatient · +2 other terms | 4 | $3.4k | $3.1k | $1.9k | 63% | 4–40 | $500 – $5.0k |
| 7 | Healthcare Highways other · outpatient · +1 other terms | 3 | $3.2k | $3.0k | $615 | 20% | 3–30 | $2.2k – $3.7k |
| 8 | Phcs other · outpatient | 2 | $6.9k | $6.9k | $3.9k | 57% | 2–20 | $3.0k – $10.8k |
| 9 | Ucare facility · other · outpatient | 2 | $1.6k | $1.6k | — | — | 2–20 | $1.6k – $1.6k |
| 10 | Bcbs Mn other · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 11 | Carefirst facility · other · outpatient | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 12 | Healthpartners facility · other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 13 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 14 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 176 | $1.6k | $1.7k | $206 | 12% | — | $1.4k – $4.0k |
| 15 | Humana fee schedule · outpatient · +8 other terms | 162 | $1.6k | $1.6k | $472 | 29% | — | $1.4k – $6.5k |
| 16 | Aetna fee schedule · outpatient · +9 other terms | 156 | $1.6k | $1.6k | $187 | 12% | — | $1.4k – $2.6k |
| 17 | WellCare fee schedule · outpatient · +4 other terms | 132 | $1.6k | $1.6k | $77 | 5% | — | $1.4k – $2.0k |
| 18 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $1.6k | $1.6k | $555 | 34% | — | $1.4k – $8.4k |
| 19 | Devoted fee schedule · outpatient · +3 other terms | 122 | $1.6k | $1.6k | $44 | 3% | — | $1.4k – $1.6k |
| 20 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $1.6k | $1.6k | $68 | 4% | — | $1.6k – $1.7k |
| 21 | Molina fee schedule · outpatient · +7 other terms | 69 | $2.3k | $2.2k | $864 | 39% | — | $1.5k – $4.1k |
| 22 | Superior Healthplan fee schedule · outpatient · +1 other terms | 40 | $1.6k | $1.6k | $1 | 0% | — | $1.6k – $1.6k |
| 23 | Anthem fee schedule · outpatient · +7 other terms | 31 | $1.6k | $1.6k | $103 | 6% | — | $1.5k – $2.0k |
| 24 | Oscar fee schedule · outpatient · +4 other terms | 27 | $1.5k | $1.7k | $322 | 19% | — | $1.5k – $2.6k |
| 25 | Medicare facility · fee schedule · outpatient · +2 other terms | 24 | $1.7k | $3.0k | $2.4k | 81% | — | $619 – $13.0k |
← Hospitals reporting APC 5163 · Snapshot 20261111T120946Z-9134e7f7