APC 5164
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 4 ENT Procedures
Atlanta, GA
See all hospitals reporting APC 5164 →Price type
Emory University’s median price of $3.7k is about the same as the median hospital's median price ($3.6k), higher than 53% of the 613 hospitals reporting APC 5164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 2 | Aetna medicare managed care plan facility · other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 3 | Blue Cross Blue Shield blue value secure medicare managed care plan facility · other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 4 | Blue Cross Blue Shield hpn other commercial plan facility · other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 5 | Clover medicare managed care plan facility · other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 6 | Kaiser medicare managed care plan facility · other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 7 | UnitedHealthcare hmo/pos facility · other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 8 | Cigna hmo/pos facility · other · outpatient | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
| 9 | Aetna hmo/pos facility · other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 10 | Blue Cross Blue Shield hmo facility · other · outpatient | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 11 | Oscar exchange facility · other · outpatient | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 12 | Caresource medicaid managed care plan facility · other · outpatient | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 13 | Blue Cross Blue Shield ppo facility · other · outpatient | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 14 | Ambetter peach state exchange facility · other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 15 | Humana medicare managed care plan facility · other · outpatient | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 16 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $17.1k | $17.1k | — | — | 1–10 | $17.1k – $17.1k |
Last updated: Apr 1, 2026
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