APC 5371

Level 1 urology and related procedures

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Urology and Related Services

Payers reporting APC 5371

Payer pricing summary

Low

$156

Average

$918

Median

$606

High

$9.3k

Payer rate distribution

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Filter by billing class

#
1	Cigna other · outpatient · +6 other terms	49	$1.5k	$2.1k	$2.8k	134%	318–759	$10 – $17.1k
2	Excellus case rate · outpatient · +1 other terms	5	$709	$713	$183	26%	196–232	$440 – $1.0k
3	Caresource other · outpatient · +2 other terms	18	$286	$690	$682	99%	156–309	$131 – $2.3k
4	Medical Mutual other · outpatient · +3 other terms	9	$315	$575	$674	117%	52–160	$35 – $2.2k
5	Ucare facility · other · outpatient	3	$255	$280	$57	20%	6–60	$250 – $408
6	First Health other · outpatient · +3 other terms	3	$726	$681	$86	13%	3–30	$560 – $756
7	Bcbs Mn other · outpatient	1	$599	$599	$333	56%	3–30	$254 – $1.0k
8	Bcbs Mi other · outpatient · +1 other terms	2	$278	$278	$91	33%	2–20	$187 – $369
9	Medicaid other · outpatient · +1 other terms	2	$170	$170	$5	3%	2–20	$165 – $175
10	Highmark case rate · outpatient · +2 other terms	5	$312	$443	$166	38%	1–10	$312 – $733
11	Healthpartners facility · other · outpatient · +1 other terms	1	$181	$181	—	—	1–10	$181 – $181
12	MultiPlan other · outpatient · +1 other terms	1	$2.2k	$2.2k	—	—	1–10	$2.2k – $2.2k
13	Phcs facility · percent of total billed charges · outpatientfrom % of charges	1	$9.3k	$9.3k	—	—	1–10	$9.3k – $9.3k
14	UnitedHealthcare fee schedule · outpatient · +8 other terms	176	$256	$349	$326	94%	—	$223 – $2.0k
15	Humana fee schedule · outpatient · +6 other terms	162	$251	$263	$75	29%	—	$219 – $1.0k
16	Aetna fee schedule · outpatient · +7 other terms	156	$256	$259	$31	12%	—	$221 – $426
17	WellCare fee schedule · outpatient · +4 other terms	132	$259	$259	$12	5%	—	$224 – $316
18	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	127	$251	$277	$126	46%	—	$219 – $1.4k
19	Devoted fee schedule · outpatient · +3 other terms	122	$251	$251	$7	3%	—	$219 – $264
20	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$264	$258	$11	4%	—	$251 – $279
21	Molina fee schedule · outpatient · +5 other terms	69	$370	$358	$139	39%	—	$237 – $659
22	Superior Healthplan fee schedule · outpatient	40	$264	$264	$0	0%	—	$264 – $264
23	Anthem fee schedule · outpatient · +4 other terms	31	$264	$258	$16	6%	—	$237 – $321
24	Oscar fee schedule · outpatient · +4 other terms	27	$246	$276	$54	20%	—	$246 – $426
25	Medicare facility · fee schedule · outpatient · +2 other terms	24	$274	$1.1k	$1.9k	178%	—	$100 – $12.8k

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