APC 5672

Level 2 pathology lab services at Edward Hospital

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 2 Pathology

Naperville, IL

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Pricing by billing methodology

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How this price compares nationally

Edward Hospital’s median price of $183 is 4% below the median hospital's median price ($191), higher than 41% of the 681 hospitals reporting APC 5672. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5672 at Edward Hospital

Negotiated rates from the hospital’s own file: 7 payers, 18 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	$142	$142	—	—	65	$142 – $142
2	Aetna medicaid managed care plan other · outpatient	$154	$154	—	—	1–10	$154 – $154
3	Molina medicaid managed care plan other · outpatient	$158	$158	—	—	1–10	$158 – $158
4	Cigna medicare managed care plan other · outpatient	$162	$162	—	—	1–10	$162 – $162
5	Blue Cross Blue Shield medicare managed care plan other · outpatient	$175	$175	—	—	30	$175 – $175
6	WellCare medicare managed care plan other · outpatient	$175	$175	—	—	1–10	$175 – $175
7	Humana medicare managed care plan other · outpatient	$178	$178	—	—	134	$178 – $178
8	Aetna medicare managed care plan other · outpatient	$182	$182	—	—	84	$182 – $182
9	UnitedHealthcare medicare managed care plan other · outpatient	$183	$183	—	—	72	$183 – $183
10	UnitedHealthcare core/navigate other commercial plan other · outpatient	$190	$190	—	—	15	$190 – $190
11	Humana mmai medicare managed care plan other · outpatient	$206	$206	—	—	1–10	$206 – $206
12	UnitedHealthcare all commercial plans other · outpatient	$213	$213	—	—	74	$213 – $213
13	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	39	$1.0k – $1.0k
14	Aetna all commercial plans other · outpatient	$1.6k	$1.6k	—	—	70	$1.6k – $1.6k
15	Blue Cross Blue Shield ppo other · outpatient	$2.6k	$2.6k	—	—	297	$2.6k – $2.6k
16	Blue Cross Blue Shield mmai medicare managed care plan other · outpatient	$2.9k	$2.9k	—	—	1–10	$2.9k – $2.9k
17	Blue Cross Blue Shield choice other commercial plan other · outpatient	$3.0k	$3.0k	—	—	66	$3.0k – $3.0k
18	Blue Cross Blue Shield hmo other · outpatient	$13.4k	$13.4k	—	—	39	$13.4k – $13.4k

Last updated: Apr 1, 2026

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