APC N809

Other medicine 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Other Medicine

Naperville, IL

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Pricing by billing methodology

Price type

How this price compares nationally

Edward Hospital’s median price of $222 is 14% above the median hospital's median price ($195), higher than 56% of the 256 hospitals reporting APC N809. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC N809 at Edward Hospital

Negotiated rates from the hospital’s own file: 5 payers, 13 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 hmo other · outpatient	$125	$125	—	—	1–10	$125 – $125
2	Aetna medicare managed care plan other · outpatient	$133	$133	—	—	11	$133 – $133
3	Blue Cross Blue Shield medicare managed care plan other · outpatient	$142	$142	—	—	1–10	$142 – $142
4	UnitedHealthcare medicare managed care plan other · outpatient	$172	$172	—	—	1–10	$172 – $172
5	Humana medicare managed care plan other · outpatient	$184	$184	—	—	24	$184 – $184
6	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$203	$203	—	—	11	$203 – $203
7	UnitedHealthcare core/navigate other commercial plan other · outpatient	$222	$222	—	—	1–10	$222 – $222
8	Cigna medicare managed care plan other · outpatient	$233	$233	—	—	1–10	$233 – $233
9	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$358	$358	—	—	1–10	$358 – $358
10	UnitedHealthcare all commercial plans other · outpatient	$535	$535	—	—	1–10	$535 – $535
11	Aetna all commercial plans other · outpatient	$761	$761	—	—	12	$761 – $761
12	Blue Cross Blue Shield ppo other · outpatient	$1.1k	$1.1k	—	—	35	$1.1k – $1.1k
13	Blue Cross Blue Shield choice other commercial plan other · outpatient	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k

Last updated: Apr 1, 2026

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