APC 5164
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
Level 4 ENT Procedures
Low
$1.9k
Average
$6.4k
Median
$4.7k
High
$22.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 3.5× 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 | 152 | $7.9k | $9.6k | $7.8k | 81% | 6,346–9,109 | $45 – $43.9k |
| 2 | Cigna other · outpatient · +6 other terms | 106 | $9.4k | $12.6k | $10.3k | 81% | 640–1,729 | $499 – $67.5k |
| 3 | Excellus facility · other · outpatient · +1 other terms | 7 | $4.5k | $5.0k | $4.0k | 80% | 248–365 | $1.5k – $16.6k |
| 4 | Caresource facility · other · outpatient · +3 other terms | 22 | $2.8k | $3.0k | $1.2k | 41% | 158–365 | $54 – $5.6k |
| 5 | Medical Mutual other · outpatient · +4 other terms | 17 | $13.5k | $10.4k | $7.9k | 75% | 97–331 | $2.8k – $27.6k |
| 6 | Bcbs Mi other · outpatient · +1 other terms | 3 | $15.2k | $14.8k | $1.5k | 10% | 59–68 | $12.9k – $16.4k |
| 7 | Ambetter facility · other · outpatient · +5 other terms | 14 | $4.9k | $5.9k | $4.4k | 75% | 57–147 | $568 – $20.8k |
| 8 | Ucare facility · other · outpatient · +1 other terms | 3 | $3.3k | $3.3k | $189 | 6% | 7–70 | $3.0k – $3.4k |
| 9 | Highmark facility · other · outpatient · +2 other terms | 6 | $5.4k | $5.4k | $1.9k | 36% | 5–50 | $1.6k – $8.1k |
| 10 | First Health other · outpatient · +2 other terms | 5 | $23.2k | $18.2k | $12.6k | 69% | 5–50 | $1.3k – $33.5k |
| 11 | Healthcare Highways other · outpatient · +1 other terms | 5 | $5.9k | $6.8k | $3.2k | 47% | 5–50 | $3.3k – $12.8k |
| 12 | Phcs other · outpatient · +2 other terms | 5 | $7.8k | $10.1k | $9.1k | 91% | 5–50 | $2.1k – $27.3k |
| 13 | Healthpartners other · outpatient · +1 other terms | 2 | $18.5k | $18.5k | $1.6k | 9% | 4–40 | $16.9k – $20.0k |
| 14 | Carefirst facility · other · outpatient | 1 | $5.3k | $5.3k | $1.6k | 30% | 2–20 | $3.7k – $6.9k |
| 15 | Bcbs Mn other · outpatient | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 16 | Medcost facility · other · outpatient · +1 other terms | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 17 | Medicaid other · outpatient · +1 other terms | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 18 | MultiPlan other · outpatient · +2 other terms | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 19 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 176 | $3.4k | $3.4k | $505 | 15% | — | $2.0k – $5.5k |
| 20 | Humana fee schedule · outpatient · +8 other terms | 162 | $3.3k | $3.5k | $1.0k | 29% | — | $2.9k – $13.8k |
| 21 | Aetna fee schedule · outpatient · +8 other terms | 156 | $3.4k | $3.4k | $418 | 12% | — | $2.9k – $5.7k |
| 22 | WellCare fee schedule · outpatient · +4 other terms | 132 | $3.4k | $3.4k | $162 | 5% | — | $3.0k – $4.2k |
| 23 | Devoted fee schedule · outpatient · +3 other terms | 122 | $3.3k | $3.3k | $94 | 3% | — | $2.9k – $3.5k |
| 24 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $3.5k | $3.4k | $144 | 4% | — | $3.3k – $3.7k |
| 25 | Molina fee schedule · outpatient · +7 other terms | 69 | $4.9k | $4.8k | $1.8k | 39% | — | $3.1k – $8.7k |
← Hospitals reporting APC 5164 · Snapshot 20261111T120946Z-9134e7f7