APC 5312

Level 2 lower GI procedure at Methodist Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 2 Lower GI Procedure

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Hospital’s median price of $1.2k is 21% below the median hospital's median price ($1.6k), higher than 19% of the 720 hospitals reporting APC 5312. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5312 at Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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 mgmcrhmo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
4	Devoted dualeligible fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
5	Devoted mcrhmo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
6	Devoted mcrpffs fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
7	Devoted mcrpos fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
8	Devoted mcrppo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
9	Devoted mcrsnp fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
10	Aetna mcr fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
11	UnitedHealthcare mcr fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
12	WellCare mcrhmo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
13	WellCare mcrpos fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
14	WellCare mcrppo fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
15	WellCare mcrsnp fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	WellCare pffs fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Clover mcr fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Molina mcr fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Molina mme-mmp fee schedule · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	Optum comm fee schedule · outpatient	$3.0k	$3.0k	—	—	—	$3.0k – $3.0k

Last updated: May 1, 2026

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