APC 5313
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 3 Lower GI Procedures
Kettering, OH
See all hospitals reporting APC 5313 →Price type
Kettering Medical Center ’s median price of $4.6k is 50% above the median hospital's median price ($3.1k), higher than 78% of the 685 hospitals reporting APC 5313. 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, 11 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 | Blue Cross Blue Shield anthem pathway hmox exchange other · outpatient | $1 | $1 | — | — | 1–10 | $1 – $1 |
| 2 | Caresource medicaid managed care plan other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 3 | Aetna medicare managed care plan other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 4 | Humana gold medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 5 | Caresource marketplace exchange other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 6 | Medical Mutual mmo southern ohio exchange other · outpatient | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 7 | Blue Cross Blue Shield anthem - blue access/blue preferred hmo/ppo other · outpatient | $8.3k | $8.3k | — | — | 13 | $8.3k – $8.3k |
| 8 | UnitedHealthcare all commercial plans other · outpatient | $11.8k | $11.8k | — | — | 1–10 | $11.8k – $11.8k |
| 9 | Aetna all commercial plans other · outpatient | $13.2k | $13.2k | — | — | 1–10 | $13.2k – $13.2k |
| 10 | Aetna new business/oh ky preferred other commercial plan other · outpatient | $14.8k | $14.8k | — | — | 1–10 | $14.8k – $14.8k |
| 11 | Cigna all commercial plans other · outpatient | $21.5k | $21.5k | — | — | 1–10 | $21.5k – $21.5k |
Last updated: Apr 1, 2026
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