APC 5731

Level 1 Minor 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.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting APC 5731

Payer pricing summary

Low

$19

Average

$548

Median

$196

High

$4.1k

Payer rate distribution

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#
1	Cigna other · outpatient · +6 other terms	57	$155	$1.0k	$4.5k	432%	532–1,081	$18 – $37.7k
2	Caresource facility · other · outpatient · +2 other terms	13	$80	$195	$300	154%	211–346	$9 – $998
3	Excellus case rate · outpatient · +1 other terms	5	$82	$83	$21	26%	155–164	$51 – $120
4	Medical Mutual other · outpatient · +4 other terms	12	$443	$1.8k	$3.5k	189%	83–245	$23 – $10.2k
5	Healthpartners facility · other · outpatient · +1 other terms	1	$276	$276	$114	41%	32–50	$118 – $384
6	Ucare facility · other · outpatient · +2 other terms	4	$30	$73	$65	89%	26–71	$29 – $196
7	First Health other · outpatient · +4 other terms	6	$101	$132	$106	81%	6–60	$13 – $304
8	Bcbs Mn other · outpatient · +1 other terms	1	$5.6k	$5.6k	$3.7k	67%	4–40	$2.2k – $11.8k
9	Highmark case rate · outpatient · +2 other terms	5	$36	$51	$19	38%	3–30	$36 – $85
10	Bcbs Mi other · outpatient · +1 other terms	3	$212	$256	$84	33%	3–30	$182 – $373
11	Healthcare Highways other · outpatient	2	$336	$336	$287	86%	2–20	$49 – $623
12	Phcs other · outpatient · +2 other terms	2	$170	$170	$20	12%	2–20	$150 – $190
13	Medicaid other · outpatient · +1 other terms	1	$228	$228	—	—	1–10	$228 – $228
14	MultiPlan other · outpatient · +1 other terms	1	$329	$329	—	—	1–10	$329 – $329
15	UnitedHealthcare fee schedule · outpatient · +8 other terms	176	$30	$44	$147	334%	—	$11 – $1.5k
16	Humana fee schedule · outpatient · +6 other terms	162	$29	$30	$9	29%	—	$24 – $121
17	Aetna fee schedule · outpatient · +8 other terms	156	$30	$29	$3	10%	—	$24 – $43
18	WellCare fee schedule · outpatient · +4 other terms	132	$30	$30	$2	6%	—	$24 – $37
19	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$29	$31	$9	30%	—	$23 – $88
20	Devoted fee schedule · outpatient · +3 other terms	122	$29	$29	$1	3%	—	$25 – $31
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$31	$30	$1	4%	—	$29 – $32
22	Molina fee schedule · outpatient · +6 other terms	69	$43	$41	$16	40%	—	$24 – $76
23	Superior Healthplan fee schedule · outpatient	40	$31	$31	$0	0%	—	$31 – $31
24	Anthem fee schedule · outpatient · +4 other terms	31	$31	$29	$3	10%	—	$24 – $37
25	Oscar fee schedule · outpatient · +4 other terms	28	$30	$38	$15	39%	—	$28 – $68

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