APC 5331
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
Complex GI Procedures
Low
$5.2k
Average
$9.9k
Median
$7.2k
High
$48.7k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
35 payers; the 90th percentile is 2.4× 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 · +1 other terms | 5 | $17.2k | $17.3k | $4.4k | 26% | 192–228 | $10.7k – $25.2k |
| 2 | Cigna other · outpatient · +6 other terms | 47 | $19.3k | $22.5k | $15.5k | 69% | 110–695 | $2.7k – $78.9k |
| 3 | Caresource other · outpatient · +2 other terms | 8 | $3.6k | $4.4k | $1.9k | 44% | 19–91 | $2.9k – $9.3k |
| 4 | Medical Mutual other · outpatient · +2 other terms | 3 | $14.3k | $12.8k | $9.3k | 73% | 5–50 | $5.2k – $29.8k |
| 5 | Healthpartners other · outpatient | 2 | $48.7k | $48.7k | — | — | 2–20 | $48.7k – $48.7k |
| 6 | Medica facility · other · outpatient | 2 | $6.6k | $6.6k | — | — | 2–20 | $6.6k – $6.6k |
| 7 | MultiPlan percent of total billed charges · outpatientfrom % of charges | 2 | $24.4k | $24.4k | $1.2k | 5% | 2–20 | $23.3k – $25.6k |
| 8 | Phcs facility · other · outpatient | 2 | $7.9k | $7.9k | $20 | 0% | 2–20 | $7.8k – $7.9k |
| 9 | First Health other · outpatient · +2 other terms | 1 | $22.5k | $22.5k | — | — | 1–10 | $22.5k – $22.5k |
| 10 | Medicaid other · outpatient · +1 other terms | 1 | $7.3k | $7.3k | — | — | 1–10 | $7.3k – $7.3k |
| 11 | UnitedHealthcare fee schedule · outpatient · +7 other terms | 176 | $6.2k | $6.1k | $526 | 9% | — | $2.0k – $7.8k |
| 12 | Humana fee schedule · outpatient · +6 other terms | 162 | $6.1k | $6.4k | $1.8k | 29% | — | $5.3k – $25.4k |
| 13 | Aetna fee schedule · outpatient · +6 other terms | 156 | $6.2k | $6.3k | $769 | 12% | — | $5.4k – $10.4k |
| 14 | WellCare fee schedule · outpatient · +4 other terms | 132 | $6.3k | $6.3k | $297 | 5% | — | $5.4k – $7.7k |
| 15 | Blue Cross Blue Shield fee schedule · outpatient · +8 other terms | 127 | $6.1k | $6.5k | $2.0k | 32% | — | $5.3k – $31.5k |
| 16 | Devoted fee schedule · outpatient · +3 other terms | 122 | $6.1k | $6.1k | $172 | 3% | — | $5.3k – $6.4k |
| 17 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $6.4k | $6.3k | $264 | 4% | — | $6.1k – $6.8k |
| 18 | Molina fee schedule · outpatient · +5 other terms | 69 | $9.0k | $8.7k | $3.4k | 39% | — | $5.8k – $16.0k |
| 19 | Superior Healthplan fee schedule · outpatient | 40 | $6.4k | $6.4k | $4 | 0% | — | $6.4k – $6.4k |
| 20 | Anthem fee schedule · outpatient · +4 other terms | 31 | $6.4k | $6.3k | $373 | 6% | — | $5.8k – $7.8k |
| 21 | Oscar fee schedule · outpatient · +4 other terms | 27 | $6.0k | $6.7k | $1.3k | 20% | — | $6.0k – $10.4k |
| 22 | Ambetter facility · fee schedule · outpatient · +5 other terms | 20 | $9.7k | $11.1k | $3.0k | 27% | — | $8.2k – $16.2k |
| 23 | Optum facility · per diem · outpatient · +4 other terms | 18 | $6.4k | $6.4k | $277 | 4% | — | $5.5k – $6.9k |
| 24 | Amerihealth Caritas fee schedule · outpatient · +2 other terms | 17 | $8.2k | $8.0k | $620 | 8% | — | $6.6k – $8.2k |
| 25 | Clover fee schedule · outpatient · +4 other terms | 15 | $6.4k | $6.1k | $305 | 5% | — | $5.6k – $6.4k |
← Hospitals reporting APC 5331 · Snapshot 20261111T120946Z-9134e7f7