APC 5163
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 ENT Procedures
River, SC
See all hospitals reporting APC 5163 →Price type
McLeod Health’s median price of $1.4k is 16% below the median hospital's median price ($1.7k), higher than 8% of the 600 hospitals reporting APC 5163. 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 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 3 | Medicare medicare case rate · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Aetna medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Clover medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Humana medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 8 | WellCare medicare advantage case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Molina medicare advantage case rate · outpatient | $1.4k | $1.8k | $563 | 31% | — | $1.4k – $2.6k |
| 10 | Ambetter medicare advantage case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Jul 20, 2026
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