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
Cleveland, OH
See all hospitals reporting APC 5313 →Price type
Metrohealth System’s median price of $2.5k is 19% below the median hospital's median price ($3.1k), higher than 3% of the 687 hospitals reporting APC 5313. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Caresource medicare managed care plan facility · other · outpatient | $528 | $528 | — | — | 1–10 | $528 – $528 |
| 2 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 3 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 4 | Aetna all commercial plans facility · other · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 5 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 6 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 7 | Aetna medicare managed care plan facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 8 | Devoted medicare managed care facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 9 | Cigna medicare managed care plan facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 10 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 11 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $2.5k | $2.5k | — | — | 25 | $2.5k – $2.5k |
| 12 | Humana medicare managed care facility · other · outpatient | $2.5k | $2.5k | — | — | 15 | $2.5k – $2.5k |
| 13 | UnitedHealthcare medicare managed care facility · other · outpatient | $2.5k | $2.5k | — | — | 14 | $2.5k – $2.5k |
| 14 | Molina medicaid managed care plan facility · other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 15 | Medical Mutual all commercial plans facility · other · outpatient | $3.4k | $3.4k | — | — | 67 | $3.4k – $3.4k |
| 16 | Cigna all commercial plans facility · other · outpatient | $3.4k | $3.4k | — | — | 12 | $3.4k – $3.4k |
| 17 | UnitedHealthcare all commercial plans facility · other · outpatient | $3.5k | $3.5k | — | — | 12 | $3.5k – $3.5k |
| 18 | Caresource exchange facility · other · outpatient | $3.5k | $3.5k | — | — | 12 | $3.5k – $3.5k |
| 19 | Molina exchange facility · other · outpatient | $3.5k | $3.5k | — | — | 11 | $3.5k – $3.5k |
| 20 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $8.1k | $8.1k | — | — | 35 | $8.1k – $8.1k |
Last updated: Apr 1, 2026
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