APC 5411

Level 1 gynecologic 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 1 Gynecologic Proced

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 $209 is 19% below the median hospital's median price ($257), higher than 21% of the 665 hospitals reporting APC 5411. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5411 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	$203	$203	—	—	—	$203 – $203
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
4	Devoted dualeligible fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
5	Devoted mcrhmo fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
6	Devoted mcrpffs fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
7	Devoted mcrpos fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
8	Devoted mcrppo fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
9	Devoted mcrsnp fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
10	Aetna mcr fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
11	UnitedHealthcare mcr fee schedule · outpatient	$207	$207	—	—	—	$207 – $207
12	WellCare mcrhmo fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
13	WellCare mcrpos fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
14	WellCare mcrppo fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
15	WellCare mcrsnp fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
16	WellCare pffs fee schedule · outpatient	$209	$209	—	—	—	$209 – $209
17	Clover mcr fee schedule · outpatient	$213	$213	—	—	—	$213 – $213
18	Molina mcr fee schedule · outpatient	$323	$323	—	—	—	$323 – $323
19	Molina mme-mmp fee schedule · outpatient	$323	$323	—	—	—	$323 – $323
20	Optum comm fee schedule · outpatient	$508	$508	—	—	—	$508 – $508

Last updated: May 1, 2026

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