APC 5163
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
Level 3 ENT Procedures
Circleville, OH
See all hospitals reporting APC 5163 →Price type
Berger Hospital’s median price of $1.6k is 5% below the median hospital's median price ($1.7k), higher than 35% of the 602 hospitals reporting APC 5163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna all commercial plans other · outpatient | $510 | $510 | — | — | 1–10 | $510 – $510 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $905 | $905 | — | — | 1–10 | $905 – $905 |
| 3 | Medical Mutual medicare managed care plan other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 4 | Humana medicare managed care plan other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 6 | Caresource medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 7 | Molina medicaid managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 8 | UnitedHealthcare medicaid managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 10 | Medical Mutual all commercial plans other · outpatient | $6.6k | $6.6k | — | — | 1–10 | $6.6k – $6.6k |
| 11 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
Last updated: Apr 1, 2026
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