APC 5094
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 4 Breast/Lymphatic Surgery and Related Procedures
Loris, SC
See all hospitals reporting APC 5094 →Price type
McLeod Health’s median price of $16.7k is 4% below the median hospital's median price ($17.3k), higher than 45% of the 465 hospitals reporting APC 5094. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare dha case rate · outpatient | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 3 | Medicare medicare case rate · outpatient | $15.8k | $15.8k | — | — | — | $15.8k – $15.8k |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 5 | Aetna medicare advantage case rate · outpatient | $16.2k | $16.2k | — | — | — | $16.2k – $16.2k |
| 6 | Clover medicare advantage case rate · outpatient | $16.5k | $16.5k | — | — | — | $16.5k – $16.5k |
| 7 | Humana medicare advantage case rate · outpatient | $16.5k | $16.5k | — | — | — | $16.5k – $16.5k |
| 8 | WellCare medicare advantage case rate · outpatient | $16.9k | $16.9k | — | — | — | $16.9k – $16.9k |
| 9 | Molina medicare advantage case rate · outpatient | $16.9k | $21.5k | $6.6k | 31% | — | $16.9k – $30.9k |
| 10 | Ambetter medicare advantage case rate · outpatient | $28.5k | $28.5k | — | — | — | $28.5k – $28.5k |
Last updated: Jul 20, 2026
See Level 4 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.