APC 5823

Health and behavior services, level 3 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.

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 Behavior Services

Cleveland, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Metrohealth System’s median price of $157 is 16% below the median hospital's median price ($188), higher than 9% 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 Metrohealth System

Negotiated rates from the hospital’s own file: 10 payers, 25 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	UnitedHealthcare medicare managed care facility · other · outpatient	$50	$50	—	—	698	$50 – $50
2	Caresource dual medicare/medicaid managed care plan facility · other · outpatient	$116	$116	—	—	202	$116 – $116
3	Aetna medicaid managed care plan facility · other · outpatient	$143	$143	—	—	215	$143 – $143
4	Cigna medicare managed care plan facility · other · outpatient	$145	$145	—	—	1–10	$145 – $145
5	Aetna medicare managed care plan facility · other · outpatient	$146	$146	—	—	321	$146 – $146
6	Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient	$146	$146	—	—	627	$146 – $146
7	Caresource medicare managed care plan facility · other · outpatient	$146	$146	—	—	88	$146 – $146
8	Humana medicare managed care facility · other · outpatient	$146	$146	—	—	265	$146 – $146
9	Devoted medicare managed care facility · other · outpatient	$147	$147	—	—	140	$147 – $147
10	UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient	$148	$148	—	—	44	$148 – $148
11	UnitedHealthcare medicaid managed care plan facility · other · outpatient	$149	$149	—	—	128	$149 – $149
12	Tricare government facility · other · outpatient	$149	$149	—	—	24	$149 – $149
13	Molina medicaid managed care plan facility · other · outpatient	$157	$157	—	—	342	$157 – $157
14	Caresource medicaid managed care plan facility · other · outpatient	$160	$160	—	—	764	$160 – $160
15	Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges	$160	$160	—	—	258	$160 – $160
16	Caresource exchange facility · other · outpatient	$194	$194	—	—	310	$194 – $194
17	Molina exchange facility · other · outpatient	$208	$208	—	—	322	$208 – $208
18	UnitedHealthcare all commercial plans facility · other · outpatient	$208	$208	—	—	65	$208 – $208
19	Medical Mutual all commercial plans facility · other · outpatient	$228	$228	—	—	1,127	$228 – $228
20	Aetna cvs exchange facility · other · outpatient	$238	$238	—	—	30	$238 – $238
21	Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient	$321	$321	—	—	22	$321 – $321
22	Aetna all commercial plans facility · other · outpatient	$445	$445	—	—	267	$445 – $445
23	Cigna all commercial plans facility · other · outpatient	$526	$526	—	—	1–10	$526 – $526
24	Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient	$562	$562	—	—	953	$562 – $562
25	UnitedHealthcare behavioral health plan facility · other · outpatient	$584	$584	—	—	1–10	$584 – $584

Last updated: Apr 1, 2026

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