APC 5611

Level 1 radiation therapy treatment

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Therapeutic Radiation Treatment Preparation

Payers reporting APC 5611

Payer pricing summary

Low

$91

Average

$700

Median

$267

High

$5.3k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	5	$382	$384	$98	26%	2,059–2,077	$237 – $558
2	Cigna other · outpatient · +6 other terms	27	$1.2k	$9.5k	$18.7k	197%	134–377	$30 – $76.1k
3	Caresource other · outpatient · +2 other terms	5	$148	$165	$60	36%	5–50	$100 – $271
4	First Health other · outpatient · +2 other terms	4	$1.5k	$1.5k	$305	20%	4–40	$1.2k – $1.8k
5	Medical Mutual other · outpatient · +2 other terms	2	$2.0k	$1.2k	$1.5k	127%	4–40	$103 – $3.8k
6	Highmark facility · other · outpatient · +2 other terms	6	$220	$599	$2.3k	378%	3–30	$141 – $18.1k
7	Bcbs Nj facility · other · outpatient	3	$141	$141	$0	0%	2–20	$141 – $141
8	Ucare facility · other · outpatient	2	$275	$275	—	—	2–20	$275 – $275
9	Medicaid other · outpatient · +1 other terms	1	$113	$113	—	—	1–10	$113 – $113
10	Phcs facility · percent of total billed charges · outpatientfrom % of charges	1	$204	$204	—	—	1–10	$204 – $204
11	UnitedHealthcare fee schedule · outpatient · +8 other terms	174	$138	$137	$6	4%	—	$120 – $174
12	Humana fee schedule · outpatient · +6 other terms	161	$135	$142	$41	29%	—	$118 – $561
13	Aetna fee schedule · outpatient · +7 other terms	155	$138	$140	$17	12%	—	$119 – $232
14	WellCare fee schedule · outpatient · +4 other terms	131	$139	$140	$7	5%	—	$120 – $170
15	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$135	$140	$26	19%	—	$118 – $400
16	Devoted fee schedule · outpatient · +3 other terms	122	$135	$135	$4	3%	—	$118 – $142
17	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$142	$139	$6	4%	—	$135 – $150
18	Molina fee schedule · outpatient · +5 other terms	69	$199	$193	$75	39%	—	$128 – $354
19	Superior Healthplan fee schedule · outpatient	40	$142	$142	$0	0%	—	$142 – $142
20	Anthem fee schedule · outpatient · +4 other terms	31	$142	$139	$8	6%	—	$128 – $173
21	Oscar fee schedule · outpatient · +4 other terms	27	$132	$149	$30	20%	—	$132 – $232
22	Medicare facility · fee schedule · outpatient · +2 other terms	18	$141	$382	$1.0k	271%	—	$120 – $5.8k
23	Amerihealth Caritas fee schedule · outpatient · +3 other terms	17	$168	$165	$8	5%	—	$146 – $168
24	Clover fee schedule · outpatient · +4 other terms	15	$142	$136	$7	5%	—	$124 – $142
25	Kaiser fee schedule · outpatient · +5 other terms	15	$145	$143	$3	2%	—	$135 – $145

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