APC 5221
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 1 Pacemaker and Similar Procedures
Low
$1.9k
Average
$5.5k
Median
$4.7k
High
$11.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
32 payers; the 90th percentile is 2.2× 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 | Excellus case rate · outpatient | 5 | $10.6k | $10.7k | $2.7k | 26% | 2–20 | $6.6k – $15.5k |
| 2 | Caresource other · outpatient · +1 other terms | 2 | $3.5k | $3.5k | $775 | 22% | 2–20 | $2.7k – $4.3k |
| 3 | Medical Mutual other · outpatient · +1 other terms | 1 | $45.7k | $45.7k | — | — | 1–10 | $45.7k – $45.7k |
| 4 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 175 | $3.8k | $3.9k | $457 | 12% | — | $3.3k – $5.5k |
| 5 | Humana fee schedule · outpatient · +6 other terms | 161 | $3.8k | $3.9k | $1.1k | 29% | — | $3.3k – $15.6k |
| 6 | Aetna fee schedule · outpatient · +5 other terms | 155 | $3.8k | $3.9k | $467 | 12% | — | $3.3k – $6.4k |
| 7 | WellCare fee schedule · outpatient · +3 other terms | 131 | $3.9k | $3.9k | $183 | 5% | — | $3.3k – $4.7k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $3.8k | $4.2k | $2.0k | 47% | — | $3.3k – $21.7k |
| 9 | Devoted fee schedule · outpatient · +2 other terms | 122 | $3.8k | $3.8k | $106 | 3% | — | $3.3k – $3.9k |
| 10 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $3.9k | $3.9k | $163 | 4% | — | $3.8k – $4.2k |
| 11 | Molina fee schedule · outpatient · +5 other terms | 69 | $5.5k | $5.4k | $2.1k | 39% | — | $3.5k – $9.9k |
| 12 | Superior Healthplan fee schedule · outpatient | 40 | $3.9k | $3.9k | $2 | 0% | — | $3.9k – $3.9k |
| 13 | Anthem fee schedule · outpatient · +4 other terms | 31 | $3.9k | $3.9k | $234 | 6% | — | $3.5k – $4.8k |
| 14 | Oscar fee schedule · outpatient · +3 other terms | 27 | $3.7k | $4.1k | $814 | 20% | — | $3.7k – $6.4k |
| 15 | Medicare facility · fee schedule · outpatient · +2 other terms | 21 | $3.9k | $4.4k | $1.4k | 32% | — | $1.5k – $13.3k |
| 16 | Amerihealth Caritas fee schedule · outpatient · +1 other terms | 17 | $5.1k | $4.9k | $382 | 8% | — | $4.1k – $5.1k |
| 17 | Cigna fee schedule · outpatient · +5 other terms | 16 | $3.8k | $4.2k | $389 | 9% | — | $3.6k – $4.5k |
| 18 | Clover fee schedule · outpatient · +3 other terms | 15 | $3.9k | $3.8k | $188 | 5% | — | $3.4k – $3.9k |
| 19 | Kaiser fee schedule · outpatient · +4 other terms | 15 | $4.0k | $4.0k | $102 | 3% | — | $3.7k – $4.0k |
| 20 | Optum facility · per diem · outpatient · +3 other terms | 15 | $4.7k | $5.9k | $3.4k | 58% | — | $3.4k – $16.1k |
| 21 | Ambetter case rate · outpatient · +4 other terms | 12 | $6.0k | $7.0k | $1.2k | 17% | — | $6.0k – $8.4k |
| 22 | Tricare case rate · outpatient · +1 other terms | 7 | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 23 | Highmark case rate · outpatient · +2 other terms | 5 | $4.7k | $6.6k | $2.5k | 38% | — | $4.7k – $11.0k |
| 24 | Medica facility · fee schedule · outpatient | 5 | $4.0k | $4.1k | $463 | 11% | — | $4.0k – $6.0k |
| 25 | Bcbs Nj facility · other · outpatient | 3 | $3.9k | $3.9k | $9 | 0% | — | $3.9k – $3.9k |
← Hospitals reporting APC 5221 · Snapshot 20261111T120946Z-9134e7f7