APC 5742

Level 2 electronic device analysis

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 2 Electronic Analysis of Devices

Payers reporting APC 5742

Payer pricing summary

Low

$84

Average

$572

Median

$302

High

$3.6k

Payer rate distribution

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Filter by billing class

#
1	Excellus case rate · outpatient · +1 other terms	5	$270	$271	$70	26%	191–200	$167 – $395
2	Cigna facility · other · outpatient · +6 other terms	26	$580	$503	$464	92%	68–410	$16 – $1.3k
3	Caresource facility · other · outpatient · +3 other terms	14	$342	$348	$218	63%	29–191	$46 – $624
4	Ucare facility · other · outpatient · +1 other terms	3	$232	$163	$68	42%	4–40	$95 – $232
5	Medical Mutual other · outpatient · +2 other terms	2	$128	$145	$89	61%	3–30	$76 – $270
6	Highmark case rate · outpatient · +2 other terms	5	$119	$169	$63	38%	1–10	$119 – $279
7	First Health other · outpatient · +1 other terms	1	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
8	Medicaid other · outpatient · +1 other terms	1	$231	$231	—	—	1–10	$231 – $231
9	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	1	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
10	UnitedHealthcare fee schedule · outpatient · +8 other terms	176	$97	$102	$84	82%	—	$85 – $1.5k
11	Humana fee schedule · outpatient · +6 other terms	162	$96	$100	$29	29%	—	$83 – $397
12	Aetna fee schedule · outpatient · +7 other terms	156	$97	$99	$12	12%	—	$84 – $161
13	WellCare fee schedule · outpatient · +4 other terms	132	$98	$99	$5	5%	—	$85 – $120
14	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$96	$101	$25	25%	—	$83 – $284
15	Devoted fee schedule · outpatient · +3 other terms	122	$96	$96	$3	3%	—	$83 – $100
16	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$100	$98	$4	4%	—	$96 – $106
17	Molina fee schedule · outpatient · +5 other terms	69	$141	$136	$53	39%	—	$90 – $251
18	Superior Healthplan fee schedule · outpatient	40	$100	$100	$0	0%	—	$100 – $100
19	Anthem fee schedule · outpatient · +4 other terms	31	$100	$98	$6	6%	—	$90 – $122
20	Oscar fee schedule · outpatient · +4 other terms	28	$99	$110	$34	31%	—	$94 – $254
21	Medicare facility · fee schedule · outpatient · +2 other terms	19	$99	$1.5k	$2.2k	150%	—	$38 – $5.8k
22	Amerihealth Caritas fee schedule · outpatient · +2 other terms	17	$119	$116	$6	5%	—	$104 – $119
23	Ambetter facility · fee schedule · outpatient · +5 other terms	16	$165	$2.6k	$4.5k	171%	—	$43 – $18.8k
24	Optum facility · per diem · outpatient · +4 other terms	16	$595	$813	$2.0k	252%	—	$86 – $8.9k
25	Clover fee schedule · outpatient · +3 other terms	15	$100	$96	$5	5%	—	$88 – $100

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