APC 5313
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.
Original text from hospital filings
Level 3 Lower GI Procedures
Houston, TX
Negotiated rates from the hospital’s own file: 8 payers, 16 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare medicare managed care - hmo other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 2 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 3 | Aetna medicare managed care - hmo/ppo other · outpatient | $2.7k | $2.7k | — | — | 15 | $2.7k – $2.7k |
| 4 | Humana medicare managed care - ppo other · outpatient | $2.9k | $2.9k | — | — | 11 | $2.9k – $2.9k |
| 5 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 6 | UnitedHealthcare medicare managed care - ppo other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 7 | Devoted medicare managed care - hmo other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 8 | Molina exchange other · outpatient | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $4.8k | $4.8k | — | — | 26 | $4.8k – $4.8k |
| 10 | Aetna hmo/pos/ppo other · outpatient | $5.3k | $5.3k | — | — | 11 | $5.3k – $5.3k |
| 11 | Blue Cross Blue Shield all commercial plans other · outpatient | $5.6k | $5.6k | — | — | 74 | $5.6k – $5.6k |
| 12 | First Health first health/coventry ppo other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 13 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $5.8k | $5.8k | — | — | 23 | $5.8k – $5.8k |
| 14 | Cigna all other benefit plans ppo other · outpatient | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 15 | Cigna network c-24 hmo/ppo other · outpatient | $7.9k | $7.9k | — | — | 1–10 | $7.9k – $7.9k |
| 16 | Cigna local plus/surefit hmo/ppo other · outpatient | $15.0k | $15.0k | — | — | 1–10 | $15.0k – $15.0k |