APC 5223
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 Pacemaker and Similar Procedures
Low
$6.6k
Average
$15.4k
Median
$12.5k
High
$32.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
38 payers; the 90th percentile is 2.6× 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 | Cigna facility · other · outpatient · +6 other terms | 51 | $12.4k | $18.9k | $14.3k | 75% | 95–644 | $83 – $67.6k |
| 2 | Excellus case rate · outpatient · +1 other terms | 5 | $29.7k | $29.8k | $7.6k | 26% | 67–76 | $18.4k – $43.4k |
| 3 | Medical Mutual other · outpatient · +3 other terms | 6 | $18.6k | $18.8k | $10.0k | 53% | 22–112 | $9.6k – $33.8k |
| 4 | Caresource other · outpatient · +2 other terms | 7 | $7.9k | $9.4k | $3.3k | 35% | 7–70 | $7.2k – $17.1k |
| 5 | First Health other · outpatient · +1 other terms | 2 | $5.8k | $5.8k | $5.6k | 97% | 2–20 | $150 – $11.4k |
| 6 | Healthpartners other · outpatient | 2 | $29.7k | $29.7k | — | — | 2–20 | $29.7k – $29.7k |
| 7 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 2 | $31.5k | $31.5k | $19.5k | 62% | 2–20 | $12.0k – $51.0k |
| 8 | Ucare facility · other · outpatient | 2 | $11.0k | $11.0k | — | — | 2–20 | $11.0k – $11.0k |
| 9 | Bcbs Mn other · outpatient | 1 | $17.5k | $17.5k | $7.3k | 42% | 2–20 | $10.2k – $24.9k |
| 10 | Highmark case rate · outpatient · +2 other terms | 5 | $13.0k | $18.5k | $7.0k | 38% | 1–10 | $13.0k – $30.6k |
| 11 | Medicaid other · outpatient · +1 other terms | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 12 | Phcs other · outpatient | 1 | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 13 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 176 | $10.7k | $10.7k | $504 | 5% | — | $8.8k – $13.5k |
| 14 | Humana fee schedule · outpatient · +7 other terms | 162 | $10.5k | $11.0k | $3.2k | 29% | — | $9.2k – $43.7k |
| 15 | Aetna fee schedule · outpatient · +6 other terms | 156 | $10.7k | $10.9k | $1.4k | 13% | — | $9.3k – $18.3k |
| 16 | WellCare fee schedule · outpatient · +4 other terms | 132 | $10.8k | $10.9k | $508 | 5% | — | $9.4k – $13.2k |
| 17 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $10.5k | $11.2k | $3.9k | 35% | — | $9.2k – $59.1k |
| 18 | Devoted fee schedule · outpatient · +3 other terms | 122 | $10.5k | $10.5k | $297 | 3% | — | $9.2k – $11.0k |
| 19 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $11.0k | $10.8k | $455 | 4% | — | $10.5k – $11.7k |
| 20 | Molina fee schedule · outpatient · +5 other terms | 69 | $15.5k | $15.0k | $5.8k | 38% | — | $9.9k – $27.6k |
| 21 | Superior Healthplan fee schedule · outpatient | 40 | $11.0k | $11.0k | $7 | 0% | — | $11.0k – $11.0k |
| 22 | Anthem fee schedule · outpatient · +4 other terms | 31 | $11.0k | $10.8k | $611 | 6% | — | $9.9k – $13.4k |
| 23 | Oscar fee schedule · outpatient · +4 other terms | 27 | $10.3k | $11.6k | $2.4k | 21% | — | $10.3k – $18.3k |
| 24 | Medicare facility · fee schedule · outpatient · +2 other terms | 22 | $11.0k | $11.5k | $1.2k | 10% | — | $9.3k – $14.1k |
| 25 | Optum facility · per diem · outpatient · +4 other terms | 19 | $11.1k | $11.0k | $710 | 6% | — | $9.4k – $13.9k |
← Hospitals reporting APC 5223 · Snapshot 20261111T120946Z-9134e7f7