APC 5313
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 Lower GI Procedures
Low
$1.8k
Average
$5.2k
Median
$4.2k
High
$13.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 3.0× 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 | 190 | $6.4k | $7.3k | $5.8k | 79% | 6,333–9,870 | $1 – $49.3k |
| 2 | UnitedHealthcare other · outpatient · +9 other terms | 182 | $4.6k | $5.9k | $5.4k | 92% | 2,311–4,867 | $33 – $38.8k |
| 3 | Cigna other · outpatient · +6 other terms | 117 | $9.2k | $10.1k | $6.9k | 69% | 923–2,183 | $1.7k – $34.1k |
| 4 | Excellus facility · other · outpatient · +1 other terms | 6 | $4.0k | $4.6k | $4.5k | 98% | 230–320 | $886 – $17.9k |
| 5 | Medical Mutual other · outpatient · +4 other terms | 19 | $9.7k | $8.0k | $6.4k | 80% | 103–346 | $2.2k – $29.0k |
| 6 | Caresource other · outpatient · +3 other terms | 22 | $2.6k | $3.6k | $2.8k | 78% | 102–318 | $1.5k – $13.5k |
| 7 | Ambetter facility · other · outpatient · +5 other terms | 21 | $4.2k | $4.3k | $966 | 22% | 66–219 | $2.6k – $5.8k |
| 8 | First Health other · outpatient · +3 other terms | 15 | $9.4k | $9.4k | $2.7k | 29% | 15–150 | $4.6k – $13.1k |
| 9 | Highmark facility · other · outpatient · +1 other terms | 6 | $4.5k | $4.5k | $1.7k | 38% | 8–80 | $1.5k – $7.7k |
| 10 | Healthpartners other · outpatient | 4 | $11.2k | $11.5k | $2.6k | 23% | 8–80 | $7.3k – $15.5k |
| 11 | Medica facility · other · outpatient · +1 other terms | 3 | $3.5k | $3.3k | $598 | 18% | 5–50 | $2.8k – $4.1k |
| 12 | Ucare facility · other · outpatient · +1 other terms | 3 | $2.8k | $4.0k | $2.2k | 54% | 4–40 | $2.7k – $7.8k |
| 13 | MultiPlan other · outpatient · +1 other terms | 3 | $9.7k | $7.3k | $3.3k | 45% | 3–30 | $2.7k – $9.7k |
| 14 | Phcs other · outpatient · +2 other terms | 3 | $9.5k | $9.1k | $1.4k | 15% | 3–30 | $7.3k – $10.7k |
| 15 | Bcbs Mi percent of total billed charges · outpatientfrom % of charges | 2 | $11.8k | $11.8k | $4.9k | 41% | 2–20 | $7.0k – $16.7k |
| 16 | Healthcare Highways other · outpatient | 2 | $7.6k | $7.6k | $1.4k | 18% | 2–20 | $6.2k – $9.0k |
| 17 | Medicaid other · outpatient · +1 other terms | 2 | $1.9k | $1.9k | $2 | 0% | 2–20 | $1.9k – $1.9k |
| 18 | Bcbs Mn percent of total billed charges · outpatientfrom % of charges | 1 | $7.6k | $7.6k | $3.5k | 46% | 2–20 | $4.1k – $11.1k |
| 19 | Carefirst facility · other · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 20 | Humana fee schedule · outpatient · +8 other terms | 162 | $2.8k | $2.9k | $821 | 28% | — | $2.4k – $11.6k |
| 21 | Aetna fee schedule · outpatient · +9 other terms | 156 | $2.8k | $2.9k | $343 | 12% | — | $2.5k – $4.8k |
| 22 | WellCare fee schedule · outpatient · +4 other terms | 132 | $2.9k | $2.9k | $134 | 5% | — | $2.5k – $3.5k |
| 23 | Devoted fee schedule · outpatient · +3 other terms | 122 | $2.8k | $2.8k | $79 | 3% | — | $2.4k – $2.9k |
| 24 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $2.9k | $2.9k | $121 | 4% | — | $2.8k – $3.1k |
| 25 | Molina fee schedule · outpatient · +7 other terms | 69 | $4.1k | $4.0k | $1.5k | 39% | — | $2.6k – $7.3k |
← Hospitals reporting APC 5313 · Snapshot 20261111T120946Z-9134e7f7