APC T0175
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
Intensive Outpatient Prog
Low
$192
Average
$208
Median
$209
High
$222
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Humana fee schedule · outpatient | 81 | $215 | $210 | $10 | 5% | — | $158 – $229 |
| 2 | Caresource fee schedule · outpatient | 15 | $222 | $222 | — | — | — | $222 – $222 |
| 3 | Tricare case rate · outpatient · +1 other terms | 7 | $188 | $188 | — | — | — | $188 – $188 |
| 4 | Blue Cross Blue Shield fee schedule · outpatient | 6 | $208 | $208 | — | — | — | $208 – $208 |
← Hospitals reporting APC T0175 · Snapshot 20261111T120946Z-9134e7f7