APC 5071

Minor skin excision, biopsy, or drainage procedure at Riverside Methodist Hospital

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Excision/ Biopsy/ Incision and Drainage

Columbus, OH

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Pricing by billing methodology

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How this price compares nationally

Riverside Methodist Hospital’s median price of $759 is 4% below the median hospital's median price ($792), higher than 40% of the 732 hospitals reporting APC 5071. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5071 at Riverside Methodist Hospital

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Devoted medicare managed care plan other · outpatient	$394	$394	—	—	1–10	$394 – $394
2	UnitedHealthcare medicaid managed care plan other · outpatient	$457	$457	—	—	1–10	$457 – $457
3	Molina medicaid managed care plan other · outpatient	$482	$482	—	—	15	$482 – $482
4	Caresource medicare managed care plan other · outpatient	$531	$531	—	—	1–10	$531 – $531
5	Caresource medicaid managed care plan other · outpatient	$540	$540	—	—	30	$540 – $540
6	Molina medicare managed care plan other · outpatient	$547	$547	—	—	1–10	$547 – $547
7	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$632	$632	—	—	33	$632 – $632
8	UnitedHealthcare medicare managed care plan other · outpatient	$640	$640	—	—	29	$640 – $640
9	Humana medicare managed care plan other · outpatient	$646	$646	—	—	28	$646 – $646
10	Aetna medicare managed care plan other · outpatient	$652	$652	—	—	40	$652 – $652
11	Medical Mutual medicare managed care plan other · outpatient	$662	$662	—	—	1–10	$662 – $662
12	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$702	$702	—	—	1–10	$702 – $702
13	Humana medicaid managed care plan other · outpatient	$817	$817	—	—	1–10	$817 – $817
14	Medical Mutual exchange other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
15	Blue Cross Blue Shield pathway exchange other · outpatient	$1.8k	$1.8k	—	—	14	$1.8k – $1.8k
16	UnitedHealthcare all commercial plans other · outpatient	$3.4k	$3.4k	—	—	24	$3.4k – $3.4k
17	UnitedHealthcare options other commercial plan other · outpatient	$3.4k	$3.4k	—	—	64	$3.4k – $3.4k
18	Medical Mutual all commercial plans other · outpatient	$3.5k	$3.5k	—	—	37	$3.5k – $3.5k
19	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$3.7k	$3.7k	—	—	105	$3.7k – $3.7k
20	Aetna all commercial plans other · outpatient	$4.0k	$4.0k	—	—	45	$4.0k – $4.0k
21	Aetna meritain/asa other commercial plan other · outpatient	$4.3k	$4.3k	—	—	1–10	$4.3k – $4.3k
22	Cigna hmo other · outpatient	$4.3k	$4.3k	—	—	11	$4.3k – $4.3k
23	Cigna great west other commercial plan other · outpatient	$5.5k	$5.5k	—	—	1–10	$5.5k – $5.5k
24	Cigna ppo other · outpatient	$7.7k	$7.7k	—	—	1–10	$7.7k – $7.7k

Last updated: Apr 1, 2026

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