APC 5743

Level 3 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 3 Electronic Analysis of Devices

Payers reporting APC 5743

Payer pricing summary

Low

$157

Average

$765

Median

$504

High

$2.7k

Payer rate distribution

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#
1	Excellus case rate · outpatient · +1 other terms	5	$872	$877	$225	26%	91	$541 – $1.3k
2	Medical Mutual other · outpatient · +2 other terms	2	$223	$223	$61	27%	31–40	$162 – $283
3	First Health other · outpatient · +1 other terms	2	$3.5k	$3.5k	—	—	2–20	$3.5k – $3.5k
4	UnitedHealthcare fee schedule · outpatient · +8 other terms	175	$315	$340	$170	50%	—	$274 – $1.5k
5	Humana fee schedule · outpatient · +7 other terms	161	$309	$324	$94	29%	—	$270 – $1.3k
6	Aetna fee schedule · outpatient · +7 other terms	155	$314	$319	$39	12%	—	$272 – $525
7	WellCare fee schedule · outpatient · +4 other terms	131	$318	$319	$15	5%	—	$275 – $389
8	Blue Cross Blue Shield fee schedule · outpatient · +7 other terms	126	$309	$325	$80	24%	—	$270 – $918
9	Devoted fee schedule · outpatient · +3 other terms	122	$309	$309	$9	3%	—	$270 – $324
10	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$324	$317	$13	4%	—	$309 – $343
11	Molina fee schedule · outpatient · +5 other terms	69	$454	$441	$170	39%	—	$291 – $810
12	Superior Healthplan fee schedule · outpatient	40	$324	$324	$0	0%	—	$324 – $325
13	Anthem fee schedule · outpatient · +4 other terms	31	$324	$317	$19	6%	—	$292 – $395
14	Oscar fee schedule · outpatient · +3 other terms	27	$302	$340	$67	20%	—	$302 – $525
15	Medicare facility · fee schedule · outpatient · +2 other terms	20	$322	$1.5k	$2.1k	145%	—	$122 – $8.6k
16	Amerihealth Caritas fee schedule · outpatient	17	$417	$402	$31	8%	—	$335 – $417
17	Cigna fee schedule · outpatient · +5 other terms	16	$309	$329	$32	10%	—	$297 – $372
18	Clover fee schedule · outpatient · +4 other terms	15	$324	$310	$15	5%	—	$283 – $324
19	Kaiser fee schedule · outpatient · +3 other terms	15	$330	$327	$8	2%	—	$306 – $330
20	Ambetter facility · fee schedule · outpatient · +3 other terms	13	$524	$1.4k	$2.4k	176%	—	$140 – $7.1k
21	Optum facility · per diem · outpatient · +3 other terms	13	$321	$308	$19	6%	—	$279 – $326
22	Tricare case rate · outpatient · +3 other terms	7	$262	$262	—	—	—	$262 – $262
23	Highmark case rate · outpatient · +1 other terms	5	$383	$545	$204	38%	—	$383 – $901
24	Medica facility · fee schedule · outpatient	5	$329	$331	$2	1%	—	$325 – $332
25	Bcbs Nj facility · other · outpatient	3	$321	$322	$1	0%	—	$321 – $323

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