APC 5673

Level 3 pathology 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 3 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 $367 is 9% below the median hospital's median price ($406), higher than 21% of the 698 hospitals reporting APC 5673. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5673 at Edward Hospital

Negotiated rates from the hospital’s own file: 5 payers, 16 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 medicaid managed care plan other · outpatient	$30	$30	—	—	1–10	$30 – $30
2	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$166	$166	—	—	20	$166 – $166
3	Blue Cross Blue Shield mmai medicare managed care plan other · outpatient	$342	$342	—	—	1–10	$342 – $342
4	Humana mmai medicare managed care plan other · outpatient	$345	$345	—	—	1–10	$345 – $345
5	UnitedHealthcare all commercial plans other · outpatient	$346	$346	—	—	61	$346 – $346
6	Aetna medicare managed care plan other · outpatient	$367	$367	—	—	57	$367 – $367
7	Blue Cross Blue Shield medicare managed care plan other · outpatient	$367	$367	—	—	20	$367 – $367
8	Humana medicare managed care plan other · outpatient	$367	$367	—	—	80	$367 – $367
9	UnitedHealthcare medicare managed care plan other · outpatient	$367	$367	—	—	35	$367 – $367
10	Cigna medicare managed care plan other · outpatient	$535	$535	—	—	1–10	$535 – $535
11	UnitedHealthcare core/navigate other commercial plan other · outpatient	$561	$561	—	—	15	$561 – $561
12	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$1.6k	$1.6k	—	—	14	$1.6k – $1.6k
13	Aetna all commercial plans other · outpatient	$2.8k	$2.8k	—	—	25	$2.8k – $2.8k
14	Blue Cross Blue Shield ppo other · outpatient	$3.8k	$3.8k	—	—	107	$3.8k – $3.8k
15	Blue Cross Blue Shield choice other commercial plan other · outpatient	$5.7k	$5.7k	—	—	20	$5.7k – $5.7k
16	Blue Cross Blue Shield hmo other · outpatient	$26.7k	$26.7k	—	—	18	$26.7k – $26.7k

Last updated: Apr 1, 2026

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