APC 5092
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 Breast/Lymphatic Surgery and Related Procedures
Kettering, OH
See all hospitals reporting APC 5092 →Price type
Kettering Medical Center ’s median price of $18.6k is 153% above the median hospital's median price ($7.3k), higher than 92% of the 585 hospitals reporting APC 5092. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Humana gold medicare managed care plan other · outpatient | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 2 | Caresource medicaid managed care plan other · outpatient | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 3 | Humana medicaid managed care plan other · outpatient | $10.8k | $10.8k | — | — | 1–10 | $10.8k – $10.8k |
| 4 | UnitedHealthcare complete medicare managed care plan other · outpatient | $16.3k | $16.3k | — | — | 1–10 | $16.3k – $16.3k |
| 5 | Blue Cross Blue Shield anthem senior advantage medicare managed care plan other · outpatient | $16.3k | $16.3k | — | — | 1–10 | $16.3k – $16.3k |
| 6 | Aetna medicare managed care plan other · outpatient | $16.6k | $16.6k | — | — | 1–10 | $16.6k – $16.6k |
| 7 | Blue Cross Blue Shield anthem pathway hmox exchange other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
| 8 | Molina exchange other · outpatient | $18.9k | $18.9k | — | — | 1–10 | $18.9k – $18.9k |
| 9 | UnitedHealthcare employee other · outpatient | $27.5k | $27.5k | — | — | 1–10 | $27.5k – $27.5k |
| 10 | UnitedHealthcare all commercial plans other · outpatient | $29.7k | $29.7k | — | — | 26 | $29.7k – $29.7k |
| 11 | Aetna new business/oh ky preferred other commercial plan other · outpatient | $37.1k | $37.1k | — | — | 1–10 | $37.1k – $37.1k |
| 12 | Cigna all commercial plans other · outpatient | $38.0k | $38.0k | — | — | 1–10 | $38.0k – $38.0k |
| 13 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo other · outpatient | $54.9k | $54.9k | — | — | 29 | $54.9k – $54.9k |
| 14 | Aetna all commercial plans other · outpatient | $63.0k | $63.0k | — | — | 1–10 | $63.0k – $63.0k |
Last updated: Apr 1, 2026
See Level 2 breast or lymphatic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.