APC 5312
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 2 Lower GI Procedures
Monroe, WI
See all hospitals reporting APC 5312 →Price type
Monroe Clinic, Inc.’s median price of $1.1k is 28% below the median hospital's median price ($1.6k), higher than 3% of the 724 hospitals reporting APC 5312. 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, 18 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 | $433 | $433 | — | — | 1–10 | $433 – $433 |
| 2 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $440 | $440 | — | — | 1–10 | $440 – $440 |
| 3 | Molina medicaid managed care plan other · outpatient | $621 | $621 | — | — | 46 | $621 – $621 |
| 4 | MultiPlan phcs primary network all commercial plans percent of total billed charges · outpatientfrom % of charges | $695 | $695 | — | — | 1–10 | $695 – $695 |
| 5 | Aetna medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 133 | $1.1k – $1.1k |
| 6 | Humana medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 44 | $1.1k – $1.1k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 42 | $1.1k – $1.1k |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 91 | $1.1k – $1.1k |
| 9 | UnitedHealthcare optum vaccn government other · outpatient | $1.1k | $1.1k | — | — | 19 | $1.1k – $1.1k |
| 10 | Molina medicare managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient | $4.7k | $4.7k | — | — | 120 | $4.7k – $4.7k |
| 12 | First Health other commercial plan percent of total billed charges · outpatientfrom % of charges | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 13 | UnitedHealthcare all commercial plans other · outpatient | $5.9k | $5.9k | — | — | 59 | $5.9k – $5.9k |
| 14 | Aetna all commercial plans other · outpatient | $6.4k | $6.4k | — | — | 22 | $6.4k – $6.4k |
| 15 | MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 16 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | — | — | 17 | $7.6k – $7.6k |
| 17 | Blue Cross Blue Shield blue access ppo other · outpatient | $9.3k | $9.3k | — | — | 245 | $9.3k – $9.3k |
| 18 | Blue Cross Blue Shield blue traditional traditional other · outpatient | $9.7k | $9.7k | — | — | 1–10 | $9.7k – $9.7k |
Last updated: Apr 1, 2026
See Level 2 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.