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
Atlanta, GA
See all hospitals reporting APC 5091 →Price type
Emory University’s median price of $6.3k is 45% above the median hospital's median price ($4.4k), higher than 74% 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: 12 payers, 19 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/charter/nexus other commercial plan facility · other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 2 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $3.8k | $3.8k | — | — | 11 | $3.8k – $3.8k |
| 3 | Aetna medicare managed care plan facility · other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 4 | Humana medicare managed care plan facility · other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 5 | Cigna healthspring medicare managed care plan facility · other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 6 | Oscar exchange facility · other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 7 | Blue Cross Blue Shield blue pathways exchange facility · other · outpatient | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 8 | Aetna hmo/pos facility · other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 9 | WellCare medicare managed care plan facility · other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 10 | UnitedHealthcare hmo/pos facility · other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 11 | Blue Cross Blue Shield blue value secure medicare managed care plan facility · other · outpatient | $6.4k | $6.4k | — | — | 1–10 | $6.4k – $6.4k |
| 12 | Kaiser medicare managed care plan facility · other · outpatient | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 13 | Optum ccn government facility · other · outpatient | $6.5k | $6.5k | — | — | 1–10 | $6.5k – $6.5k |
| 14 | Cigna hmo/pos facility · other · outpatient | $6.9k | $6.9k | — | — | 1–10 | $6.9k – $6.9k |
| 15 | Clover medicare managed care plan facility · other · outpatient | $8.7k | $8.7k | — | — | 1–10 | $8.7k – $8.7k |
| 16 | Blue Cross Blue Shield hmo facility · other · outpatient | $10.2k | $10.2k | — | — | 17 | $10.2k – $10.2k |
| 17 | Ambetter peach state exchange facility · other · outpatient | $12.9k | $12.9k | — | — | 1–10 | $12.9k – $12.9k |
| 18 | Blue Cross Blue Shield ppo facility · other · outpatient | $24.0k | $24.0k | — | — | 1–10 | $24.0k – $24.0k |
| 19 | Phcs all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $27.9k | $27.9k | — | — | 1–10 | $27.9k – $27.9k |
Last updated: Apr 1, 2026
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