APC 5624

Radiation therapy, level 4

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 4 Radiation Therapy

Payers reporting APC 5624

Payer pricing summary

Low

$535

Average

$5.7k

Median

$1.2k

High

$71.1k

Payer rate distribution

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#
1	Medical Mutual other · outpatient · +2 other terms	4	$17.6k	$18.0k	$16.6k	92%	8–80	$2.2k – $51.4k
2	Excellus case rate · outpatient · +1 other terms	5	$2.0k	$2.0k	$509	26%	3–30	$1.2k – $2.9k
3	Caresource other · outpatient · +2 other terms	2	$6.4k	$6.4k	$3.3k	51%	2–20	$3.1k – $9.7k
4	Healthpartners other · outpatient	2	$71.1k	$71.1k	—	—	2–20	$71.1k – $71.1k
5	Highmark case rate · outpatient · +2 other terms	5	$869	$1.2k	$464	38%	1–10	$869 – $2.0k
6	Medicaid other · outpatient · +1 other terms	1	$774	$774	—	—	1–10	$774 – $774
7	Phcs percent of total billed charges · outpatientfrom % of charges	1	$62.4k	$62.4k	—	—	1–10	$62.4k – $62.4k
8	UnitedHealthcare fee schedule · outpatient · +6 other terms	175	$714	$713	$30	4%	—	$620 – $900
9	Humana fee schedule · outpatient · +6 other terms	162	$700	$736	$212	29%	—	$611 – $2.9k
10	Aetna fee schedule · outpatient · +6 other terms	156	$713	$726	$91	12%	—	$617 – $1.2k
11	WellCare fee schedule · outpatient · +4 other terms	132	$721	$723	$34	5%	—	$624 – $882
12	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$700	$741	$189	26%	—	$611 – $2.1k
13	Devoted fee schedule · outpatient · +3 other terms	122	$700	$700	$20	3%	—	$611 – $735
14	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$735	$720	$30	4%	—	$700 – $778
15	Molina fee schedule · outpatient · +5 other terms	69	$1.0k	$1.0k	$386	39%	—	$661 – $1.8k
16	Superior Healthplan fee schedule · outpatient	40	$735	$735	$0	0%	—	$735 – $736
17	Anthem fee schedule · outpatient · +4 other terms	31	$735	$722	$41	6%	—	$661 – $896
18	Oscar fee schedule · outpatient · +3 other terms	28	$725	$814	$265	32%	—	$686 – $1.9k
19	Medicare facility · fee schedule · outpatient · +2 other terms	18	$728	$949	$936	99%	—	$621 – $5.9k
20	Amerihealth Caritas fee schedule · outpatient · +1 other terms	17	$873	$853	$43	5%	—	$759 – $873
21	Cigna fee schedule · outpatient · +5 other terms	17	$700	$816	$189	23%	—	$673 – $1.5k
22	Clover fee schedule · outpatient · +3 other terms	15	$735	$704	$35	5%	—	$642 – $735
23	Kaiser fee schedule · outpatient · +3 other terms	15	$749	$743	$14	2%	—	$708 – $749
24	Ambetter case rate · outpatient · +5 other terms	12	$1.2k	$1.3k	$223	17%	—	$1.1k – $1.6k
25	Optum fee schedule · outpatient · +4 other terms	8	$699	$1.0k	$499	48%	—	$653 – $1.7k

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