APC CASE-15004
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.
Original text from hospital filings
Prep Site F/S/N/H/F/G/M/D Gt 1st 100 Sq Cm/1pct
Low
$1.1k
Average
$1.2k
Median
$1.2k
High
$1.4k
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare other · outpatient | 16 | $397 | $1.1k | $1.2k | 110% | 1–10 | $385 – $3.3k |
| 2 | Humana other · outpatient | 14 | $405 | $1.4k | $1.3k | 94% | 1–10 | $385 – $3.3k |
| 3 | Aetna other · outpatient | 15 | $397 | $1.2k | $1.3k | 104% | — | $385 – $3.3k |
| 4 | Caresource other · outpatient | 4 | $408 | $1.1k | $1.2k | 110% | — | $403 – $3.3k |
← Hospitals reporting APC CASE-15004 · Snapshot 20261111T120946Z-9134e7f7