APC 5012

Clinic visit and related services at Methodist West Houston 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

Clinic Visits and Related Services

Houston, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Methodist West Houston Hospital’s median price of $133 is 5% below the median hospital's median price ($140), higher than 32% of the 713 hospitals reporting APC 5012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5012 at Methodist West Houston Hospital

Negotiated rates from the hospital’s own file: 9 payers, 21 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	Molina medicaid managed care plan other · outpatient	$86	$86	—	—	1–10	$86 – $86
2	Molina medicare/medicaid managed care plan other · outpatient	$106	$106	—	—	1–10	$106 – $106
3	Optum transplant medicare managed care plan other · outpatient	$125	$125	—	—	1–10	$125 – $125
4	UnitedHealthcare medicare managed care - hmo other · outpatient	$125	$125	—	—	59	$125 – $125
5	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$127	$127	—	—	27	$127 – $127
6	Humana medicare managed care - ppo other · outpatient	$127	$127	—	—	146	$127 – $127
7	UnitedHealthcare medicare managed care - ppo other · outpatient	$127	$127	—	—	138	$127 – $127
8	Aetna medicare managed care - hmo/ppo other · outpatient	$128	$128	—	—	175	$128 – $128
9	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$129	$129	—	—	1–10	$129 – $129
10	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$130	$130	—	—	50	$130 – $130
11	Devoted medicare managed care - hmo other · outpatient	$135	$135	—	—	21	$135 – $135
12	Blue Cross Blue Shield all commercial plans other · outpatient	$162	$162	—	—	385	$162 – $162
13	Phcs ppo other · outpatient	$229	$229	—	—	1–10	$229 – $229
14	Optum transplant other · outpatient	$237	$237	—	—	1–10	$237 – $237
15	Cigna all other benefit plans ppo other · outpatient	$322	$322	—	—	1–10	$322 – $322
16	Aetna new business discount other commercial plan other · outpatient	$324	$324	—	—	1–10	$324 – $324
17	Aetna hmo/pos/ppo other · outpatient	$335	$335	—	—	99	$335 – $335
18	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$347	$347	—	—	32	$347 – $347
19	UnitedHealthcare all commercial plans other · outpatient	$372	$372	—	—	95	$372 – $372
20	Cigna local plus/surefit hmo/ppo other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
21	Cigna network c-24 hmo/ppo other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k

Last updated: Apr 1, 2026

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