APC 5312
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 2 Lower GI Procedures
Low
$1.1k
Average
$2.8k
Median
$2.3k
High
$7.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 3.8× 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 | 230 | $3.6k | $4.1k | $3.3k | 80% | 83,073–86,358 | $45 – $23.8k |
| 2 | UnitedHealthcare other · outpatient · +9 other terms | 241 | $2.9k | $3.3k | $2.6k | 80% | 36,714–38,658 | $254 – $21.1k |
| 3 | Aetna other · outpatient · +9 other terms | 220 | $3.3k | $3.7k | $3.1k | 86% | 24,863–26,708 | $645 – $21.5k |
| 4 | Cigna other · outpatient · +6 other terms | 176 | $5.1k | $5.8k | $4.0k | 68% | 12,821–14,126 | $1.1k – $29.7k |
| 5 | Humana other · outpatient · +8 other terms | 185 | $1.3k | $1.6k | $869 | 56% | 10,175–11,039 | $511 – $8.0k |
| 6 | Excellus facility · other · outpatient · +1 other terms | 8 | $2.5k | $2.4k | $2.0k | 86% | 3,839–3,866 | $795 – $7.0k |
| 7 | Molina other · outpatient · +8 other terms | 102 | $1.3k | $1.5k | $1.1k | 74% | 3,130–4,084 | $82 – $9.3k |
| 8 | Ambetter facility · other · outpatient · +5 other terms | 28 | $2.0k | $2.0k | $619 | 31% | 1,584–1,656 | $1.1k – $4.0k |
| 9 | Medical Mutual other · outpatient · +5 other terms | 29 | $4.3k | $4.9k | $3.8k | 78% | 1,275–1,635 | $1.0k – $17.6k |
| 10 | Caresource other · outpatient · +4 other terms | 31 | $2.0k | $2.2k | $1.7k | 79% | 1,093–1,498 | $226 – $8.8k |
| 11 | Oscar facility · other · outpatient · +5 other terms | 36 | $2.2k | $2.4k | $652 | 27% | 994–1,129 | $1.0k – $4.8k |
| 12 | Anthem facility · other · outpatient · +8 other terms | 32 | $2.1k | $2.0k | $482 | 24% | 687–1,065 | $175 – $10.4k |
| 13 | Medica facility · other · outpatient · +3 other terms | 4 | $1.8k | $2.0k | $680 | 34% | 342–378 | $1.2k – $3.4k |
| 14 | Healthpartners other · outpatient · +1 other terms | 5 | $7.0k | $7.1k | $843 | 12% | 324–387 | $5.6k – $8.1k |
| 15 | Highmark facility · other · outpatient · +2 other terms | 10 | $2.0k | $2.0k | $679 | 35% | 280–370 | $906 – $3.1k |
| 16 | Kaiser other · outpatient · +6 other terms | 18 | $3.9k | $4.7k | $4.0k | 86% | 247–436 | $1.2k – $16.5k |
| 17 | Optum facility · other · outpatient · +4 other terms | 31 | $1.5k | $3.1k | $2.0k | 65% | 211–436 | $706 – $6.3k |
| 18 | Bcbs Mi other · outpatient · +1 other terms | 3 | $2.8k | $2.9k | $511 | 17% | 111–120 | $2.2k – $3.5k |
| 19 | Ucare facility · other · outpatient · +1 other terms | 3 | $1.3k | $1.4k | $144 | 11% | 87–132 | $1.2k – $1.6k |
| 20 | Healthcare Highways other · outpatient · +1 other terms | 6 | $4.8k | $4.9k | $1.5k | 30% | 67–103 | $3.1k – $7.8k |
| 21 | Medicaid other · outpatient · +1 other terms | 4 | $1.7k | $1.7k | $16 | 1% | 50–77 | $1.7k – $1.7k |
| 22 | Clover facility · other · outpatient · +4 other terms | 22 | $1.4k | $1.4k | $209 | 15% | 48–183 | $820 – $3.6k |
| 23 | Tricare other · outpatient · +3 other terms | 12 | $1.5k | $1.8k | $895 | 49% | 41–131 | $1.1k – $4.0k |
| 24 | First Health other · outpatient · +4 other terms | 29 | $3.9k | $5.2k | $3.9k | 75% | 29–290 | $244 – $18.2k |
| 25 | Phcs other · outpatient · +3 other terms | 15 | $3.7k | $4.0k | $2.4k | 61% | 15–150 | $1.1k – $9.4k |
← Hospitals reporting APC 5312 · Snapshot 20261111T120946Z-9134e7f7