APC 5071

Minor skin excision, biopsy, or drainage procedure at Elmhurst Memorial 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 1 Excision/ Biopsy/ Incision and Drainage

Elmhurst, IL

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Pricing by billing methodology

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How this price compares nationally

Elmhurst Memorial Hospital’s median price of $759 is 4% below the median hospital's median price ($792), higher than 40% of the 735 hospitals reporting APC 5071. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5071 at Elmhurst Memorial Hospital

Negotiated rates from the hospital’s own file: 7 payers, 17 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	UnitedHealthcare core/navigate other commercial plan other · outpatient	$457	$457	—	—	1–10	$457 – $457
2	Cigna medicare managed care plan other · outpatient	$547	$547	—	—	1–10	$547 – $547
3	Humana mmai medicare managed care plan other · outpatient	$700	$700	—	—	1–10	$700 – $700
4	Blue Cross Blue Shield mmai medicare managed care plan other · outpatient	$713	$713	—	—	1–10	$713 – $713
5	Blue Cross Blue Shield medicare managed care plan other · outpatient	$719	$719	—	—	1–10	$719 – $719
6	Humana medicare managed care plan other · outpatient	$719	$719	—	—	45	$719 – $719
7	UnitedHealthcare medicare managed care plan other · outpatient	$719	$719	—	—	19	$719 – $719
8	Aetna medicare managed care plan other · outpatient	$726	$726	—	—	18	$726 – $726
9	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$760	$760	—	—	58	$760 – $760
10	WellCare medicare managed care plan other · outpatient	$839	$839	—	—	1–10	$839 – $839
11	Molina medicaid managed care plan other · outpatient	$840	$840	—	—	1–10	$840 – $840
12	Aetna all commercial plans other · outpatient	$1.8k	$1.8k	—	—	30	$1.8k – $1.8k
13	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
14	UnitedHealthcare all commercial plans other · outpatient	$3.0k	$3.0k	—	—	26	$3.0k – $3.0k
15	Blue Cross Blue Shield hmo other · outpatient	$3.9k	$3.9k	—	—	45	$3.9k – $3.9k
16	Blue Cross Blue Shield choice other commercial plan other · outpatient	$4.5k	$4.5k	—	—	16	$4.5k – $4.5k
17	Blue Cross Blue Shield ppo other · outpatient	$4.5k	$4.5k	—	—	121	$4.5k – $4.5k

Last updated: Apr 1, 2026

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