APC 5165
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 5 ENT Procedures
Monroe, WI
See all hospitals reporting APC 5165 →Price type
Monroe Clinic, Inc.’s median price of $5.7k is 10% below the median hospital's median price ($6.3k), higher than 17% of the 584 hospitals reporting APC 5165. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $927 | $927 | — | — | 1–10 | $927 – $927 |
| 2 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $927 | $927 | — | — | 1–10 | $927 – $927 |
| 3 | Molina medicaid managed care plan other · outpatient | $1.3k | $1.3k | — | — | 29 | $1.3k – $1.3k |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 5 | Aetna medicare managed care plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 6 | Humana medicare managed care plan other · outpatient | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 7 | First Health other commercial plan percent of total billed charges · outpatientfrom % of charges | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 8 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $11.8k | $11.8k | — | — | 11 | $11.8k – $11.8k |
| 10 | Aetna all commercial plans other · outpatient | $12.5k | $12.5k | — | — | 1–10 | $12.5k – $12.5k |
| 11 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $13.1k | $13.1k | — | — | 1–10 | $13.1k – $13.1k |
| 12 | MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges | $15.3k | $15.3k | — | — | 1–10 | $15.3k – $15.3k |
| 13 | Blue Cross Blue Shield blue access ppo other · outpatient | $17.0k | $17.0k | — | — | 32 | $17.0k – $17.0k |
Last updated: Apr 1, 2026
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