APC 5231
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 ICD and Similar Procedures
Cheraw, SC
See all hospitals reporting APC 5231 →Price type
McLeod Health’s median price of $21.5k is 8% below the median hospital's median price ($23.5k), higher than 16% of the 476 hospitals reporting APC 5231. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 10 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 | Tricare dha case rate · outpatient | $19.6k | $19.6k | — | — | — | $19.6k – $19.6k |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 3 | Medicare medicare case rate · outpatient | $20.4k | $20.4k | — | — | — | $20.4k – $20.4k |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $20.7k | $20.7k | — | — | — | $20.7k – $20.7k |
| 5 | Aetna medicare advantage case rate · outpatient | $20.9k | $20.9k | — | — | — | $20.9k – $20.9k |
| 6 | Clover medicare advantage case rate · outpatient | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 7 | Humana medicare advantage case rate · outpatient | $21.3k | $21.3k | — | — | — | $21.3k – $21.3k |
| 8 | WellCare medicare advantage case rate · outpatient | $21.9k | $21.9k | — | — | — | $21.9k – $21.9k |
| 9 | Molina medicare advantage case rate · outpatient | $21.8k | $27.8k | $8.5k | 31% | — | $21.8k – $39.8k |
| 10 | Ambetter medicare advantage case rate · outpatient | $36.8k | $36.8k | — | — | — | $36.8k – $36.8k |
Last updated: Jul 20, 2026
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