APC 5091
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 1 Breast/Lymphatic Surgery and Related Procedures
Elmhurst, IL
See all hospitals reporting APC 5091 →Price type
Elmhurst Memorial Hospital’s median price of $5.3k is 21% above the median hospital's median price ($4.4k), higher than 63% of the 663 hospitals reporting APC 5091. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $2.5k | $2.5k | — | — | 27 | $2.5k – $2.5k |
| 2 | Blue Cross Blue Shield mmai medicare managed care plan other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 3 | Humana mmai medicare managed care plan other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 4 | Molina medicaid managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 5 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 6 | Humana medicare managed care plan other · outpatient | $3.9k | $3.9k | — | — | 21 | $3.9k – $3.9k |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 8 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 9 | Aetna medicare managed care plan other · outpatient | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 10 | Cigna medicare managed care plan other · outpatient | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 11 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $7.1k | $7.1k | — | — | 1–10 | $7.1k – $7.1k |
| 12 | UnitedHealthcare all commercial plans other · outpatient | $7.1k | $7.1k | — | — | 18 | $7.1k – $7.1k |
| 13 | Aetna all commercial plans other · outpatient | $9.6k | $9.6k | — | — | 13 | $9.6k – $9.6k |
| 14 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $17.1k | $17.1k | — | — | 12 | $17.1k – $17.1k |
| 15 | Blue Cross Blue Shield hmo other · outpatient | $18.5k | $18.5k | — | — | 25 | $18.5k – $18.5k |
| 16 | Blue Cross Blue Shield ppo other · outpatient | $21.1k | $21.1k | — | — | 82 | $21.1k – $21.1k |
Last updated: Apr 1, 2026
See Level 1 breast or lymphatic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.