APC N809

Other medicine services

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

Other Medicine

Payers reporting APC N809

Payer pricing summary

Low

$82

Average

$292

Median

$269

High

$675

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield other · outpatient · +3 other terms	117	$287	$360	$522	145%	2,085–4,092	$5 – $6.6k
2	UnitedHealthcare other · outpatient · +2 other terms	113	$267	$376	$540	144%	1,484–3,158	$5 – $5.0k
3	Aetna other · outpatient · +3 other terms	96	$206	$391	$606	155%	1,098–2,259	$11 – $5.2k
4	Humana other · outpatient · +3 other terms	65	$157	$221	$235	106%	1,028–1,523	$30 – $1.5k
5	Cigna other · outpatient · +3 other terms	48	$376	$507	$502	99%	147–678	$23 – $2.4k
6	Anthem other · outpatient · +1 other terms	11	$102	$155	$196	126%	114–501	$2 – $967
7	WellCare other · outpatient · +2 other terms	9	$134	$139	$111	80%	69–141	$27 – $395
8	Molina other · outpatient · +3 other terms	42	$147	$199	$208	105%	65–533	$5 – $1.1k
9	Medical Mutual other · outpatient · +2 other terms	14	$511	$611	$395	65%	63–288	$30 – $1.3k
10	Excellus facility · other · outpatient	8	$223	$256	$194	76%	56–209	$69 – $939
11	Medica facility · other · outpatient · +1 other terms	4	$142	$181	$151	84%	52–106	$30 – $434
12	Ucare facility · other · outpatient · +2 other terms	4	$62	$70	$55	78%	41–68	$30 – $148
13	Sanford Health Plan facility · other · outpatient	2	$281	$281	—	—	34	$281 – $281
14	Bcbs Mi other · outpatient · +1 other terms	3	$224	$235	$43	18%	31–49	$188 – $293
15	Ambetter facility · other · outpatient · +1 other terms	8	$87	$139	$165	119%	30–84	$30 – $562
16	Caresource other · outpatient · +1 other terms	12	$553	$638	$393	62%	15–150	$54 – $1.3k
17	Devoted other · outpatient · +1 other terms	10	$168	$245	$179	73%	10–100	$102 – $737
18	Optum facility · other · outpatient · +1 other terms	6	$47	$62	$37	59%	7–70	$30 – $110
19	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	4	$349	$354	$249	71%	4–40	$104 – $612
20	Oscar facility · other · outpatient · +1 other terms	4	$399	$532	$438	82%	4–40	$75 – $1.3k
21	Kaiser other · outpatient · +1 other terms	3	$334	$208	$135	65%	4–40	$35 – $344
22	Highmark facility · other · outpatient	2	$217	$217	$69	32%	4–40	$145 – $311
23	Clover facility · other · outpatient	3	$248	$188	$119	64%	3–30	$21 – $294
24	Tricare other · outpatient · +1 other terms	3	$112	$87	$40	46%	3–30	$31 – $118
25	Amerihealth Caritas other · outpatient · +2 other terms	2	$761	$761	$226	30%	2–20	$536 – $987

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