APC 831
Low
$258.8k
Average
$332.9k
Median
$286.3k
High
$833.4k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
22 payers; the 90th percentile is 1.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +2 other terms | 153 | $281.0k | $281.1k | $2.9k | 1% | — | $276.9k – $292.2k |
| 2 | Humana fee schedule · outpatient · +2 other terms | 148 | $278.3k | $290.0k | $81.2k | 28% | — | $267.1k – $1113k |
| 3 | Aetna fee schedule · outpatient · +1 other terms | 135 | $281.0k | $281.6k | $4.1k | 1% | — | $275.5k – $306.1k |
| 4 | WellCare fee schedule · outpatient · +1 other terms | 127 | $286.6k | $289.2k | $10.0k | 3% | — | $278.3k – $367.3k |
| 5 | Devoted fee schedule · outpatient · +1 other terms | 122 | $278.3k | $278.3k | $875 | 0% | — | $278.3k – $292.2k |
| 6 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 121 | $278.3k | $280.8k | $3.2k | 1% | — | $272.7k – $289.4k |
| 7 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $289.4k | $283.3k | $7.9k | 3% | — | $278.3k – $300.5k |
| 8 | Molina fee schedule · outpatient · +1 other terms | 55 | $409.7k | $409.7k | $158.1k | 39% | — | $283.8k – $729.0k |
| 9 | Superior Healthplan fee schedule · outpatient | 40 | $292.2k | $292.2k | — | — | — | $292.2k – $292.2k |
| 10 | Anthem fee schedule · outpatient | 24 | $278.3k | $281.0k | $3.9k | 1% | — | $278.3k – $286.6k |
| 11 | Oscar fee schedule · outpatient · +1 other terms | 24 | $272.7k | $280.8k | $9.6k | 3% | — | $272.7k – $292.2k |
| 12 | Amerihealth Caritas fee schedule · outpatient | 17 | $333.9k | $331.0k | $6.4k | 2% | — | $317.2k – $333.9k |
| 13 | Clover fee schedule · outpatient · +2 other terms | 15 | $292.2k | $292.2k | — | — | — | $292.2k – $292.2k |
| 14 | Kaiser fee schedule · outpatient · +1 other terms | 13 | $283.8k | $283.4k | $1.4k | 1% | — | $278.3k – $283.8k |
| 15 | Cigna fee schedule · outpatient | 9 | $283.8k | $289.4k | $7.9k | 3% | — | $283.8k – $300.5k |
| 16 | Medicare case rate · outpatient · +1 other terms | 8 | $253.3k | $256.4k | $6.0k | 2% | — | $253.3k – $271.4k |
| 17 | Optum fee schedule · outpatient · +1 other terms | 8 | $278.3k | $417.4k | $196.8k | 47% | — | $278.3k – $695.6k |
| 18 | Ambetter case rate · outpatient · +1 other terms | 7 | $456.0k | $457.6k | $4.0k | 1% | — | $456.0k – $467.5k |
| 19 | Bcbs Nj facility · other · outpatient | 1 | $278.3k | $278.3k | — | — | — | $278.3k – $278.3k |
| 20 | Highmark facility · other · outpatient | 1 | $434.5k | $434.5k | $150.7k | 35% | — | $283.8k – $585.1k |
| 21 | Magellan fee schedule · outpatient | 1 | $278.3k | $278.3k | — | — | — | $278.3k – $278.3k |
| 22 | Sanford Health Plan case rate · outpatient | 1 | $410.3k | $410.3k | $33.3k | 8% | — | $377.0k – $443.5k |
← Hospitals reporting APC 831 · Snapshot 20261111T120946Z-9134e7f7