APC 5371

Level 1 urology and related procedures 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Urology and Relate

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 $259 is 7% below the median hospital's median price ($278), higher than 23% of the 624 hospitals reporting APC 5371. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5371 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	$251	$251	—	—	—	$251 – $251
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
4	Devoted dualeligible fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
5	Devoted mcrhmo fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
6	Devoted mcrpffs fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
7	Devoted mcrpos fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
8	Devoted mcrppo fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
9	Devoted mcrsnp fee schedule · outpatient	$251	$251	—	—	—	$251 – $251
10	Aetna mcr fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
11	UnitedHealthcare mcr fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
12	WellCare mcrhmo fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
13	WellCare mcrpos fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
14	WellCare mcrppo fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
15	WellCare mcrsnp fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
16	WellCare pffs fee schedule · outpatient	$259	$259	—	—	—	$259 – $259
17	Clover mcr fee schedule · outpatient	$264	$264	—	—	—	$264 – $264
18	Molina mcr fee schedule · outpatient	$399	$399	—	—	—	$399 – $399
19	Molina mme-mmp fee schedule · outpatient	$399	$399	—	—	—	$399 – $399
20	Optum comm fee schedule · outpatient	$627	$627	—	—	—	$627 – $627

Last updated: May 1, 2026

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