APC 5161
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 1 ENT Procedures
Atlanta, GA
See all hospitals reporting APC 5161 →Price type
Emory University’s median price of $2.8k is 830% above the median hospital's median price ($302), higher than 86% of the 577 hospitals reporting APC 5161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 12 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 | WellCare medicare managed care plan facility · other · outpatient | $88 | $88 | — | — | 1–10 | $88 – $88 |
| 2 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 3 | Aetna medicare managed care plan facility · other · outpatient | $233 | $233 | — | — | 1–10 | $233 – $233 |
| 4 | Kaiser medicare managed care plan facility · other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 5 | Caresource medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 6 | Kaiser hmo facility · other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 7 | Kaiser ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 8 | Aetna hmo/pos facility · other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 9 | Oscar exchange facility · other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 10 | Optum ccn government facility · other · outpatient | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 11 | Blue Cross Blue Shield hmo facility · other · outpatient | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 12 | Cigna hmo/pos facility · other · outpatient | $12.6k | $12.6k | — | — | 1–10 | $12.6k – $12.6k |
Last updated: Apr 1, 2026
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