APC 5823

Health and behavior services, level 3 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 3 Health and Behavio

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 $184 is 2% below the median hospital's median price ($188), higher than 33% of the 420 hospitals reporting APC 5823. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5823 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	$178	$178	—	—	—	$178 – $178
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
4	Devoted dualeligible fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
5	Devoted mcrhmo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
6	Devoted mcrpffs fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
7	Devoted mcrpos fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
8	Devoted mcrppo fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
9	Devoted mcrsnp fee schedule · outpatient	$178	$178	—	—	—	$178 – $178
10	Aetna mcr fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
11	UnitedHealthcare mcr fee schedule · outpatient	$182	$182	—	—	—	$182 – $182
12	WellCare mcrhmo fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
13	WellCare mcrpos fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
14	WellCare mcrppo fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
15	WellCare mcrsnp fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
16	WellCare pffs fee schedule · outpatient	$184	$184	—	—	—	$184 – $184
17	Clover mcr fee schedule · outpatient	$187	$187	—	—	—	$187 – $187
18	Molina mcr fee schedule · outpatient	$284	$284	—	—	—	$284 – $284
19	Molina mme-mmp fee schedule · outpatient	$284	$284	—	—	—	$284 – $284
20	Optum comm fee schedule · outpatient	$446	$446	—	—	—	$446 – $446

Last updated: May 1, 2026

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