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
Kettering, OH
See all hospitals reporting APC 5091 →Price type
Kettering Medical Center ’s median price of $10.5k is 140% above the median hospital's median price ($4.4k), higher than 90% 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: 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 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 2 | Caresource medicaid managed care plan other · outpatient | $4.7k | $4.7k | — | — | 19 | $4.7k – $4.7k |
| 3 | Devoted medicare managed care plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 4 | Humana gold medicare managed care plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 5 | Humana medicaid managed care plan other · outpatient | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 6 | UnitedHealthcare complete medicare managed care plan other · outpatient | $5.8k | $5.8k | — | — | 21 | $5.8k – $5.8k |
| 7 | Blue Cross Blue Shield anthem senior advantage medicare managed care plan other · outpatient | $5.9k | $5.9k | — | — | 40 | $5.9k – $5.9k |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 9 | Cigna medicare managed care plan other · outpatient | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 10 | Aetna medicare managed care plan other · outpatient | $6.1k | $6.1k | — | — | 16 | $6.1k – $6.1k |
| 11 | Caresource marketplace exchange other · outpatient | $9.2k | $9.2k | — | — | 1–10 | $9.2k – $9.2k |
| 12 | Blue Cross Blue Shield anthem pathway hmox exchange other · outpatient | $9.3k | $9.3k | — | — | 14 | $9.3k – $9.3k |
| 13 | Aetna new business/oh ky preferred other commercial plan other · outpatient | $11.6k | $11.6k | — | — | 1–10 | $11.6k – $11.6k |
| 14 | Medical Mutual new buisness other commercial plan other · outpatient | $11.9k | $11.9k | — | — | 1–10 | $11.9k – $11.9k |
| 15 | Molina exchange other · outpatient | $12.9k | $12.9k | — | — | 1–10 | $12.9k – $12.9k |
| 16 | UnitedHealthcare exchange other · outpatient | $13.6k | $13.6k | — | — | 1–10 | $13.6k – $13.6k |
| 17 | Medical Mutual mmo southern ohio exchange other · outpatient | $14.3k | $14.3k | — | — | 1–10 | $14.3k – $14.3k |
| 18 | UnitedHealthcare all commercial plans other · outpatient | $18.1k | $18.1k | — | — | 39 | $18.1k – $18.1k |
| 19 | UnitedHealthcare employee other · outpatient | $19.2k | $19.2k | — | — | 12 | $19.2k – $19.2k |
| 20 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo other · outpatient | $20.6k | $20.6k | — | — | 73 | $20.6k – $20.6k |
| 21 | Cigna all commercial plans other · outpatient | $20.9k | $20.9k | — | — | 1–10 | $20.9k – $20.9k |
| 22 | Aetna all commercial plans other · outpatient | $21.2k | $21.2k | — | — | 1–10 | $21.2k – $21.2k |
| 23 | Medical Mutual supermed ppo other · outpatient | $26.1k | $26.1k | — | — | 1–10 | $26.1k – $26.1k |
| 24 | Cigna new business other commercial plan other · outpatient | $29.8k | $29.8k | — | — | 1–10 | $29.8k – $29.8k |
Last updated: Apr 1, 2026
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