APC 5313
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 Lower GI Procedures
Naperville, IL
See all hospitals reporting APC 5313 →Price type
Edward Hospital’s median price of $3.0k is 2% below the median hospital's median price ($3.1k), higher than 43% of the 687 hospitals reporting APC 5313. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 15 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 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 13 | $1.6k – $1.6k |
| 2 | Aetna medicaid managed care plan other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 3 | Humana mmai medicare managed care plan other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 4 | Humana medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 12 | $2.8k – $2.8k |
| 5 | Aetna medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 12 | $2.8k – $2.8k |
| 6 | Cigna medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 8 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $3.6k | $3.6k | — | — | 33 | $3.6k – $3.6k |
| 10 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 11 | Aetna all commercial plans other · outpatient | $5.5k | $5.5k | — | — | 19 | $5.5k – $5.5k |
| 12 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $6.3k | $6.3k | — | — | 25 | $6.3k – $6.3k |
| 13 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $19.3k | $19.3k | — | — | 26 | $19.3k – $19.3k |
| 14 | Blue Cross Blue Shield hmo other · outpatient | $19.7k | $19.7k | — | — | 28 | $19.7k – $19.7k |
| 15 | Blue Cross Blue Shield ppo other · outpatient | $19.9k | $19.9k | — | — | 113 | $19.9k – $19.9k |
Last updated: Apr 1, 2026
See Level 3 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.