APC 5863
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
Partial Hospitalization (3 services) for Hospital-based PHPs
River, SC
See all hospitals reporting APC 5863 →Price type
McLeod Health’s median price of $258 is 22% below the median hospital's median price ($330), higher than 0% of the 202 hospitals reporting APC 5863. 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 | $235 | $235 | — | — | — | $235 – $235 |
| 2 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 3 | Medicare medicare case rate · outpatient | $245 | $245 | — | — | — | $245 – $245 |
| 4 | UnitedHealthcare medicare advantage case rate · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 5 | Aetna medicare advantage case rate · outpatient | $251 | $251 | — | — | — | $251 – $251 |
| 6 | Clover medicare advantage case rate · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 7 | Humana medicare advantage case rate · outpatient | $255 | $255 | — | — | — | $255 – $255 |
| 8 | WellCare medicare advantage case rate · outpatient | $262 | $262 | — | — | — | $262 – $262 |
| 9 | Molina medicare advantage case rate · outpatient | $261 | $333 | $102 | 31% | — | $261 – $478 |
| 10 | Ambetter medicare advantage case rate · outpatient | $441 | $441 | — | — | — | $441 – $441 |
Last updated: Jul 20, 2026
See Partial hospitalization program day pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.