APC 5301
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 Upper GI Procedures
Cypress, TX
See all hospitals reporting APC 5301 →Price type
Houston Methodist Cypress Hospital’s median price of $1.9k is 62% above the median hospital's median price ($1.2k), higher than 75% of the 737 hospitals reporting APC 5301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 - ppo other · outpatient | $920 | $920 | — | — | 11 | $920 – $920 |
| 2 | Humana medicare managed care - ppo other · outpatient | $939 | $939 | — | — | 15 | $939 – $939 |
| 3 | Devoted medicare managed care - hmo other · outpatient | $991 | $991 | — | — | 1–10 | $991 – $991 |
| 4 | MultiPlan ppo other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 5 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 6 | UnitedHealthcare medicare managed care - hmo other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 7 | Blue Cross Blue Shield all commercial plans other · outpatient | $1.6k | $1.6k | — | — | 102 | $1.6k – $1.6k |
| 8 | Aetna medicare managed care - hmo/ppo other · outpatient | $1.9k | $1.9k | — | — | 19 | $1.9k – $1.9k |
| 9 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 10 | First Health first health/coventry ppo other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 11 | Aetna hmo/pos/ppo other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 12 | UnitedHealthcare all commercial plans other · outpatient | $3.9k | $3.9k | — | — | 38 | $3.9k – $3.9k |
| 13 | Cigna network c-24 hmo/ppo other · outpatient | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 14 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $4.2k | $4.2k | — | — | 21 | $4.2k – $4.2k |
| 15 | Cigna local plus/surefit hmo/ppo other · outpatient | $8.6k | $8.6k | — | — | 1–10 | $8.6k – $8.6k |
| 16 | Cigna lifesource transplant other · outpatient | $10.2k | $10.2k | — | — | 1–10 | $10.2k – $10.2k |
Last updated: Apr 1, 2026
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