APC 5823

Health and behavior services, level 3

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 Health and Behavior Services

Payers reporting APC 5823

Payer pricing summary

Low

$118

Average

$629

Median

$330

High

$4.2k

Payer rate distribution

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Filter by billing class

#
1	Excellus facility · other · outpatient · +1 other terms	6	$263	$265	$206	78%	34,432–34,468	$96 – $769
2	Cigna other · outpatient · +6 other terms	48	$486	$1.9k	$3.7k	194%	2,230–2,671	$47 – $26.9k
3	Optum facility · other · outpatient · +4 other terms	13	$167	$288	$444	154%	2,167–2,194	$10 – $4.2k
4	Caresource facility · other · outpatient · +3 other terms	17	$538	$580	$508	87%	2,011–2,092	$19 – $1.7k
5	Medical Mutual other · outpatient · +2 other terms	5	$235	$3.4k	$5.7k	169%	158–230	$60 – $18.4k
6	Bcbs Mi other · outpatient	1	$262	$262	—	—	79	$262 – $262
7	Magellan other · outpatient · +3 other terms	5	$185	$222	$74	33%	69–78	$185 – $369
8	Ucare facility · other · outpatient · +1 other terms	3	$169	$218	$87	40%	17–44	$166 – $367
9	Phcs percent of total billed charges · outpatientfrom % of charges · +1 other terms	3	$230	$382	$231	61%	13–31	$206 – $709
10	First Health other · outpatient · +1 other terms	5	$110	$1.8k	$3.3k	185%	5–50	$43 – $8.3k
11	Highmark case rate · outpatient · +2 other terms	5	$222	$315	$118	38%	1–10	$222 – $520
12	Bcbs Mn other · outpatient	1	$286	$286	—	—	1–10	$286 – $286
13	Medicaid other · outpatient · +1 other terms	1	$153	$153	—	—	1–10	$153 – $153
14	MultiPlan other · outpatient · +2 other terms	1	$470	$470	—	—	1–10	$470 – $470
15	UnitedHealthcare fee schedule · outpatient · +8 other terms	174	$182	$180	$9	5%	—	$152 – $229
16	Humana fee schedule · outpatient · +7 other terms	161	$178	$187	$54	29%	—	$152 – $741
17	Aetna fee schedule · outpatient · +7 other terms	155	$182	$182	$20	11%	—	$152 – $281
18	WellCare fee schedule · outpatient · +5 other terms	131	$184	$184	$9	5%	—	$159 – $225
19	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	126	$178	$182	$30	17%	—	$153 – $465
20	Devoted fee schedule · outpatient · +3 other terms	122	$178	$179	$5	3%	—	$156 – $187
21	Cigna Healthspring fee schedule · outpatient · +1 other terms	110	$187	$183	$8	4%	—	$178 – $198
22	Molina fee schedule · outpatient · +6 other terms	69	$263	$253	$100	39%	—	$161 – $468
23	Superior Healthplan fee schedule · outpatient	43	$187	$187	$1	1%	—	$187 – $195
24	Anthem fee schedule · outpatient · +4 other terms	31	$187	$181	$14	8%	—	$161 – $228
25	Oscar fee schedule · outpatient · +4 other terms	27	$175	$194	$32	17%	—	$175 – $281

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