APC 5311

Level 1 Lower GI Procedures at Monroe Clinic, Inc.

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 Lower GI Procedures

Monroe, WI

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Pricing by billing methodology

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How this price compares nationally

Monroe Clinic, Inc.’s median price of $863 is 24% below the median hospital's median price ($1.1k), higher than 3% of the 735 hospitals reporting APC 5311. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5311 at Monroe Clinic, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 15 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	$438	$438	—	—	1–10	$438 – $438
2	UnitedHealthcare community care medicaid managed care plan other · outpatient	$438	$438	—	—	1–10	$438 – $438
3	Molina medicaid managed care plan other · outpatient	$621	$621	—	—	20	$621 – $621
4	Aetna medicare managed care plan other · outpatient	$863	$863	—	—	35	$863 – $863
5	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$863	$863	—	—	17	$863 – $863
6	Humana medicare managed care plan other · outpatient	$863	$863	—	—	15	$863 – $863
7	UnitedHealthcare medicare managed care plan other · outpatient	$863	$863	—	—	40	$863 – $863
8	UnitedHealthcare optum vaccn government other · outpatient	$881	$881	—	—	1–10	$881 – $881
9	Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient	$4.2k	$4.2k	—	—	62	$4.2k – $4.2k
10	MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges	$4.8k	$4.8k	—	—	1–10	$4.8k – $4.8k
11	First Health other commercial plan percent of total billed charges · outpatientfrom % of charges	$5.0k	$5.0k	—	—	1–10	$5.0k – $5.0k
12	UnitedHealthcare all commercial plans other · outpatient	$5.5k	$5.5k	—	—	44	$5.5k – $5.5k
13	Blue Cross Blue Shield blue access ppo other · outpatient	$5.7k	$5.7k	—	—	108	$5.7k – $5.7k
14	Aetna all commercial plans other · outpatient	$6.2k	$6.2k	—	—	11	$6.2k – $6.2k
15	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$7.5k	$7.5k	—	—	1–10	$7.5k – $7.5k

Last updated: Apr 1, 2026

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