APC 8004

Ultrasound composite service

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Ultrasound Composite

Payers reporting APC 8004

Payer pricing summary

Low

$160

Average

$355

Median

$310

High

$840

Payer rate distribution

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#
1	Excellus case rate · outpatient	5	$835	$840	$215	26%	744–753	$518 – $1.2k
2	Highmark case rate · outpatient	5	$367	$522	$196	38%	5–50	$367 – $863
3	UnitedHealthcare fee schedule · outpatient · +2 other terms	174	$303	$302	$13	4%	—	$262 – $380
4	Humana fee schedule · outpatient · +2 other terms	161	$296	$311	$89	29%	—	$258 – $1.2k
5	Aetna fee schedule · outpatient · +2 other terms	155	$307	$309	$42	14%	—	$261 – $536
6	WellCare fee schedule · outpatient · +1 other terms	131	$304	$306	$14	5%	—	$263 – $373
7	Blue Cross Blue Shield fee schedule · outpatient · +2 other terms	125	$296	$303	$16	5%	—	$258 – $386
8	Devoted fee schedule · outpatient	122	$296	$296	$8	3%	—	$258 – $310
9	Cigna Healthspring fee schedule · outpatient	110	$310	$304	$13	4%	—	$296 – $329
10	Molina fee schedule · outpatient · +2 other terms	69	$435	$424	$162	38%	—	$279 – $776
11	Superior Healthplan fee schedule · outpatient	40	$310	$310	$0	0%	—	$310 – $311
12	Anthem fee schedule · outpatient · +1 other terms	31	$310	$308	$16	5%	—	$279 – $378
13	Oscar fee schedule · outpatient	27	$290	$329	$75	23%	—	$290 – $536
14	Amerihealth Caritas fee schedule · outpatient	17	$369	$360	$18	5%	—	$321 – $369
15	Cigna fee schedule · outpatient · +1 other terms	15	$301	$301	$10	3%	—	$284 – $319
16	Clover fee schedule · outpatient · +1 other terms	15	$310	$297	$15	5%	—	$271 – $310
17	Kaiser fee schedule · outpatient · +1 other terms	15	$317	$316	$2	1%	—	$310 – $317
18	Medicare case rate · outpatient	8	$279	$282	$7	2%	—	$279 – $299
19	Optum fee schedule · outpatient	8	$295	$442	$210	47%	—	$288 – $739
20	Ambetter case rate · outpatient · +2 other terms	7	$502	$504	$4	1%	—	$502 – $515
21	Tricare case rate · outpatient	7	$268	$268	—	—	—	$268 – $268
22	Sanford Health Plan case rate · outpatient	3	$444	$447	$45	10%	—	$371 – $512
23	Aetna Better Health facility · case rate · outpatient	1	$236	$236	$76	32%	—	$160 – $313
24	Magellan fee schedule · outpatient	1	$287	$287	—	—	—	$287 – $287
25	Medicaid facility · case rate · outpatient	1	$160	$160	—	—	—	$160 – $160