APC 5312
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 2 Lower GI Procedures
Circleville, OH
See all hospitals reporting APC 5312 →Price type
Berger Hospital’s median price of $1.1k is 28% below the median hospital's median price ($1.6k), higher than 2% of the 724 hospitals reporting APC 5312. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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 | Molina medicare managed care plan other · outpatient | $881 | $881 | — | — | 1–10 | $881 – $881 |
| 2 | Caresource medicaid managed care plan other · outpatient | $1.0k | $1.0k | — | — | 12 | $1.0k – $1.0k |
| 3 | Molina medicaid managed care plan other · outpatient | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 4 | Aetna medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 33 | $1.1k – $1.1k |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 39 | $1.1k – $1.1k |
| 6 | Humana medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 16 | $1.1k – $1.1k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 29 | $1.1k – $1.1k |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 9 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 10 | Devoted medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 11 | Humana medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 12 | Aetna all commercial plans other · outpatient | $1.4k | $1.4k | — | — | 16 | $1.4k – $1.4k |
| 13 | UnitedHealthcare medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 14 | Blue Cross Blue Shield pathway exchange other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $4.0k | $4.0k | — | — | 52 | $4.0k – $4.0k |
| 16 | Caresource exchange other · outpatient | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 17 | Medical Mutual all commercial plans other · outpatient | $7.5k | $7.5k | — | — | 17 | $7.5k – $7.5k |
| 18 | Cigna great west other commercial plan other · outpatient | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 19 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $8.1k | $8.1k | — | — | 82 | $8.1k – $8.1k |
| 20 | Cigna hmo other · outpatient | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
Last updated: Apr 1, 2026
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