APC 5733

Minor procedures, level 3 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 3 Minor Procedures

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 $70 is 8% below the median hospital's median price ($76), higher than 44% of the 751 hospitals reporting APC 5733. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5733 at Elmhurst Memorial Hospital

Negotiated rates from the hospital’s own file: 8 payers, 22 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	Devoted medicare managed care plan other · outpatient	$8	$8	—	—	1–10	$8 – $8
2	WellCare medicare managed care plan other · outpatient	$8	$8	—	—	1–10	$8 – $8
3	Blue Cross Blue Shield hmo other · outpatient	$35	$35	—	—	81	$35 – $35
4	Aetna mmai medicare managed care plan other · outpatient	$56	$56	—	—	1–10	$56 – $56
5	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$60	$60	—	—	656	$60 – $60
6	Blue Cross Blue Shield mmai medicare managed care plan other · outpatient	$66	$66	—	—	11	$66 – $66
7	Humana mmai medicare managed care plan other · outpatient	$67	$67	—	—	25	$67 – $67
8	Blue Cross Blue Shield medicare managed care plan other · outpatient	$69	$69	—	—	97	$69 – $69
9	UnitedHealthcare medicare managed care plan other · outpatient	$69	$69	—	—	244	$69 – $69
10	Cigna medicare managed care plan other · outpatient	$70	$70	—	—	29	$70 – $70
11	Aetna medicare managed care plan other · outpatient	$70	$70	—	—	291	$70 – $70
12	Humana medicare managed care plan other · outpatient	$71	$71	—	—	671	$71 – $71
13	Molina medicaid managed care plan other · outpatient	$81	$81	—	—	18	$81 – $81
14	Aetna medicaid managed care plan other · outpatient	$93	$93	—	—	25	$93 – $93
15	Molina medicare managed care plan other · outpatient	$118	$118	—	—	1–10	$118 – $118
16	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$339	$339	—	—	285	$339 – $339
17	Aetna all commercial plans other · outpatient	$399	$399	—	—	449	$399 – $399
18	UnitedHealthcare all commercial plans other · outpatient	$407	$407	—	—	576	$407 – $407
19	UnitedHealthcare core/navigate other commercial plan other · outpatient	$417	$417	—	—	92	$417 – $417
20	Blue Cross Blue Shield ppo other · outpatient	$787	$787	—	—	2,801	$787 – $787
21	Blue Cross Blue Shield choice other commercial plan other · outpatient	$960	$960	—	—	402	$960 – $960
22	Blue Cross Blue Shield hpn other commercial plan percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k

Last updated: Apr 1, 2026

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