APC 5821

Level 1 health and behavior assessment visit

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 1 Health and Behavior Services

Payers reporting APC 5821

Payer pricing summary

Low

$33

Average

$620

Median

$154

High

$6.3k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Cigna other · outpatient · +5 other terms	18	$324	$1.9k	$4.4k	230%	196–349	$22 – $22.1k
2	Caresource facility · other · outpatient · +2 other terms	9	$85	$375	$873	233%	86–158	$24 – $3.1k
3	Excellus case rate · outpatient · +1 other terms	5	$106	$107	$27	26%	64–82	$66 – $156
4	Ucare facility · other · outpatient · +2 other terms	4	$180	$191	$122	64%	18–45	$31 – $375
5	Medical Mutual other · outpatient · +2 other terms	2	$8.5k	$4.3k	$7.3k	169%	4–40	$61 – $16.9k
6	Medicaid other · outpatient · +1 other terms	3	$251	$260	$17	7%	3–30	$246 – $284
7	Healthpartners facility · other · outpatient	1	$371	$371	$132	36%	3–30	$250 – $555
8	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	2	$167	$167	$16	10%	2–20	$151 – $184
9	Bcbs Mn other · outpatient	1	$88	$88	$48	54%	2–20	$40 – $136
10	Highmark case rate · outpatient · +2 other terms	5	$47	$66	$25	38%	1–10	$47 – $110
11	Aetna Better Health other · outpatient · +1 other terms	1	$55	$55	—	—	1–10	$55 – $55
12	First Health other · outpatient	1	$111	$111	—	—	1–10	$111 – $111
13	Phcs percent of total billed charges · outpatientfrom % of charges	1	$6.3k	$6.3k	—	—	1–10	$6.3k – $6.3k
14	UnitedHealthcare fee schedule · outpatient · +7 other terms	175	$38	$38	$3	7%	—	$27 – $48
15	Humana fee schedule · outpatient · +6 other terms	162	$38	$39	$12	30%	—	$27 – $157
16	Aetna fee schedule · outpatient · +7 other terms	156	$38	$38	$4	10%	—	$27 – $52
17	WellCare fee schedule · outpatient · +4 other terms	132	$39	$39	$2	6%	—	$30 – $47
18	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$38	$38	$8	20%	—	$28 – $91
19	Devoted fee schedule · outpatient · +3 other terms	122	$38	$38	$1	3%	—	$33 – $40
20	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$40	$39	$2	4%	—	$38 – $42
21	Molina fee schedule · outpatient · +6 other terms	69	$55	$53	$21	40%	—	$30 – $99
22	Superior Healthplan fee schedule · outpatient	43	$40	$40	$0	1%	—	$40 – $41
23	Anthem fee schedule · outpatient · +4 other terms	31	$40	$37	$4	12%	—	$30 – $48
24	Oscar fee schedule · outpatient · +4 other terms	28	$39	$43	$12	27%	—	$37 – $82
25	Optum facility · per diem · outpatient · +4 other terms	22	$39	$39	$2	5%	—	$34 – $42

Page 1 of 2 · 37 payers