APC 5161

Level 1 ENT Procedures at Metrohealth System

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.

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Original text from hospital filings

Level 1 ENT Procedures

Cleveland, OH

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Pricing by billing methodology

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How this price compares nationally

Metrohealth System’s median price of $328 is 8% above the median hospital's median price ($302), higher than 53% of the 577 hospitals reporting APC 5161. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5161 at Metrohealth System

Negotiated rates from the hospital’s own file: 8 payers, 13 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	Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges	$135	$135	—	—	1–10	$135 – $135
2	Devoted medicare managed care facility · other · outpatient	$215	$215	—	—	1–10	$215 – $215
3	Humana medicare managed care facility · other · outpatient	$261	$261	—	—	1–10	$261 – $261
4	Caresource dual medicare/medicaid managed care plan facility · other · outpatient	$262	$262	—	—	1–10	$262 – $262
5	Molina exchange facility · other · outpatient	$303	$303	—	—	1–10	$303 – $303
6	Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient	$328	$328	—	—	1–10	$328 – $328
7	UnitedHealthcare medicare managed care facility · other · outpatient	$328	$328	—	—	1–10	$328 – $328
8	Caresource medicaid managed care plan facility · other · outpatient	$345	$345	—	—	1–10	$345 – $345
9	Medical Mutual all commercial plans facility · other · outpatient	$568	$568	—	—	15	$568 – $568
10	UnitedHealthcare medicaid managed care plan facility · other · outpatient	$700	$700	—	—	1–10	$700 – $700
11	Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient	$813	$813	—	—	1–10	$813 – $813
12	Aetna medicare managed care plan facility · other · outpatient	$921	$921	—	—	1–10	$921 – $921
13	UnitedHealthcare all commercial plans facility · other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k

Last updated: Apr 1, 2026

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