APC 5312
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 2 Lower GI Procedures
Delaware, OH
See all hospitals reporting APC 5312 →Price type
Grady Memorial Hospital’s median price of $1.3k is 17% below the median hospital's median price ($1.6k), higher than 35% of the 724 hospitals reporting APC 5312. 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, 24 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 | Aetna medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 80 | $1.1k – $1.1k |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 51 | $1.1k – $1.1k |
| 3 | Humana medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 81 | $1.1k – $1.1k |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 48 | $1.1k – $1.1k |
| 5 | Medical Mutual medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 30 | $1.1k – $1.1k |
| 6 | Devoted medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 13 | $1.1k – $1.1k |
| 7 | Molina medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 12 | $1.2k – $1.2k |
| 8 | Caresource medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 24 | $1.2k – $1.2k |
| 9 | UnitedHealthcare medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 10 | Caresource medicare managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $1.3k | $1.3k | — | — | 12 | $1.3k – $1.3k |
| 12 | Molina medicare managed care plan other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 13 | Humana medicaid managed care plan other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 14 | Medical Mutual exchange other · outpatient | $3.0k | $3.0k | — | — | 11 | $3.0k – $3.0k |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $5.1k | $5.1k | — | — | 19 | $5.1k – $5.1k |
| 16 | Cigna ppo other · outpatient | $6.9k | $6.9k | — | — | 1–10 | $6.9k – $6.9k |
| 17 | Medical Mutual all commercial plans other · outpatient | $6.9k | $6.9k | — | — | 80 | $6.9k – $6.9k |
| 18 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $7.0k | $7.0k | — | — | 253 | $7.0k – $7.0k |
| 19 | Cigna great west other commercial plan other · outpatient | $7.5k | $7.5k | — | — | 1–10 | $7.5k – $7.5k |
| 20 | Aetna all commercial plans other · outpatient | $7.5k | $7.5k | — | — | 80 | $7.5k – $7.5k |
| 21 | Cigna hmo other · outpatient | $8.2k | $8.2k | — | — | 32 | $8.2k – $8.2k |
| 22 | UnitedHealthcare all commercial plans other · outpatient | $8.4k | $8.4k | — | — | 190 | $8.4k – $8.4k |
| 23 | UnitedHealthcare options ppo other · outpatient | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
| 24 | Caresource exchange other · outpatient | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
Last updated: Apr 1, 2026
See Level 2 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.