APC 5694
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 4 Drug Administration
Low
$285
Average
$7.0k
Median
$830
High
$203.0k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 46.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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69 hospital rates
iThe hospitals that file a Optum rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $302 | $302 | — | — | — | $302 – $302 |
| 2 | Altru Hospital Grand Forks, ND facility · other · outpatient | 1 | $2.6k | $2.6k | — | — | 315 | $2.6k – $2.6k |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 1 | $2.6k | $2.6k | — | — | 315 | $2.6k – $2.6k |
| 4 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA other · outpatient | 1 | $11.5k | $11.5k | — | — | 1–10 | $11.5k – $11.5k |
| 5 | Beth Israel Deaconess Medical Center Boston, MA other · outpatient | 2 | $5.0k | $5.0k | $1.2k | 25% | 2–20 | $3.7k – $6.2k |
| 6 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 7 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $11.5k | $11.5k | — | — | 251 | $11.5k – $11.5k |
| 8 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 9 | Childrens Hospital of Los Angeles Angeles, CA facility · fee schedule · outpatient | 1 | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 10 | Clinton Memorial Hospital Wilmington, OH other · outpatient | 1 | $5.2k | $5.2k | — | — | 41 | $5.2k – $5.2k |
| 11 | Cocke County HMA, LLC Newport, TN facility · per diem · outpatient | 1 | $321 | $321 | — | — | — | $321 – $321 |
| 12 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $12.7k | $12.7k | — | — | 1–10 | $12.7k – $12.7k |
| 13 | Dana-Farber Cancer Institute Boston, MA other · outpatient | 3 | $9.8k | $7.2k | $4.3k | 60% | 1,922–1,931 | $1.1k – $10.8k |
| 14 | Dupont Hospital LLC Wayne, IN facility · per diem · outpatient | 1 | $349 | $616 | $1.3k | 207% | — | $349 – $6.7k |
| 15 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 16 | East Georgia Regional Medical Center LLC Statesboro, GA facility · per diem · outpatient | 1 | $315 | $315 | — | — | — | $315 – $315 |
| 17 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $313 | $1.7k | $1.9k | 115% | — | $313 – $4.4k |
| 18 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $296 | $296 | — | — | — | $296 – $296 |
| 19 | HENRICO DOCTORS HOSPITAL - FOREST MECHANICSVILLE, VA fee schedule · outpatient | 1 | $331 | $331 | — | — | — | $331 – $331 |
| 20 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $16.0k | $16.0k | — | — | 1–10 | $16.0k – $16.0k |
| 21 | IOM Health System LP Fort Wayne, IN facility · per diem · outpatient | 1 | $349 | $349 | — | — | — | $349 – $349 |
| 22 | Jackson HMA LLC Jackson, MS facility · fee schedule · outpatient | 1 | $298 | $298 | — | — | — | $298 – $298 |
| 23 | Jefferson County HMA LLC Jefferson City, TN facility · per diem · outpatient | 1 | $300 | $300 | — | — | — | $300 – $300 |
| 24 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 2 | $4.3k | $4.3k | $647 | 15% | 150 | $3.7k – $5.0k |
| 25 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · fee schedule · outpatient | 1 | $369 | $369 | — | — | — | $369 – $369 |
← Payers reporting APC 5694 · Snapshot 20261111T120946Z-9134e7f7