APC 5231
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 ICD and Similar Procedures
Low
$285
Average
$43.1k
Median
$33.6k
High
$120.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
84 hospitals; the 90th percentile is 3.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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84 hospital rates
iThe hospitals that file a Cigna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | The Methodist Hospital Houston, TX other · outpatient | 3 | $116.8k | $89.3k | $47.3k | 53% | 3–30 | $22.7k – $128.5k |
| 2 | El Camino Hospital Los Gatos, CA other · outpatient | 2 | $91.2k | $91.2k | $3.1k | 3% | 2–20 | $88.1k – $94.3k |
| 3 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 2 | $39.9k | $39.9k | $18.2k | 46% | 2–20 | $21.8k – $58.1k |
| 4 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 2 | $39.9k | $39.9k | $18.2k | 46% | 2–20 | $21.8k – $58.1k |
| 5 | Orlando Health, Inc. Orlando, FL other · outpatient | 2 | $46.2k | $46.2k | $22.6k | 49% | 2–20 | $23.6k – $68.8k |
| 6 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $44.4k | $44.4k | — | — | 1–10 | $44.4k – $44.4k |
| 7 | Billings Clinic Billings, MT percent of total billed charges · outpatientfrom % of charges | 1 | $61.7k | $61.7k | — | — | 1–10 | $61.7k – $61.7k |
| 8 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $73.5k | $73.5k | — | — | 1–10 | $73.5k – $73.5k |
| 9 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $30.0k | $30.0k | — | — | 1–10 | $30.0k – $30.0k |
| 10 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 1 | $23.4k | $23.4k | — | — | 1–10 | $23.4k – $23.4k |
| 11 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $22.7k | $22.7k | — | — | 1–10 | $22.7k – $22.7k |
| 12 | Legacy Good Samaritan Medical Center Portland, OR other · outpatient | 1 | $27.1k | $27.1k | — | — | 1–10 | $27.1k – $27.1k |
| 13 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · other · outpatient | 1 | $57.2k | $57.2k | — | — | 1–10 | $57.2k – $57.2k |
| 14 | MemorialCare Orange Coast Medical Center Fountain Valley, CA other · outpatient | 1 | $17.7k | $17.7k | — | — | 1–10 | $17.7k – $17.7k |
| 15 | MemorialCare Saddleback Medical Center Laguna Hills, CA other · outpatient | 1 | $14.1k | $14.1k | — | — | 1–10 | $14.1k – $14.1k |
| 16 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $118.3k | $118.3k | — | — | 1–10 | $118.3k – $118.3k |
| 17 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $22.7k | $22.7k | — | — | 1–10 | $22.7k – $22.7k |
| 18 | Musc Health Columbia Medical Center Downtown Columbia, SC facility · other · outpatient | 1 | $57.2k | $57.2k | — | — | 1–10 | $57.2k – $57.2k |
| 19 | Orlando Health Melbourne Hospital Melbourne, FL other · outpatient | 1 | $56.9k | $56.9k | — | — | 1–10 | $56.9k – $56.9k |
| 20 | Orlando Health Sebastian River Hospital Sebastian, FL other · outpatient | 1 | $285 | $285 | — | — | 1–10 | $285 – $285 |
| 21 | Providence Health And Services - Washington Spokane, WA other · outpatient | 1 | $18.6k | $18.6k | — | — | 1–10 | $18.6k – $18.6k |
| 22 | Providence Health System - Southern California Santa Monica, CA other · outpatient | 1 | $20.3k | $20.3k | — | — | 1–10 | $20.3k – $20.3k |
| 23 | Providence Health System - Southern California Burbank, CA other · outpatient | 1 | $16.4k | $16.4k | — | — | 1–10 | $16.4k – $16.4k |
| 24 | Providence Health and Services - Oregon Portland, OR other · outpatient | 1 | $92.6k | $92.6k | — | — | 1–10 | $92.6k – $92.6k |
| 25 | Riverside Methodist Hospital Columbus, OH other · outpatient | 1 | $40.1k | $40.1k | — | — | 1–10 | $40.1k – $40.1k |
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