APC 5164
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 4 ENT Procedures
Columbus, OH
See all hospitals reporting APC 5164 →Price type
Riverside Methodist Hospital’s median price of $5.0k is 36% above the median hospital's median price ($3.6k), higher than 72% of the 610 hospitals reporting APC 5164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 20 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 2 | Molina medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 3 | Caresource medicaid managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 4 | Devoted medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 5 | Aetna medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 6 | Medical Mutual medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 7 | Humana medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 8 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 9 | UnitedHealthcare medicare managed care plan other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 10 | Medical Mutual exchange other · outpatient | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 11 | Blue Cross Blue Shield pathway exchange other · outpatient | $11.8k | $11.8k | — | — | 1–10 | $11.8k – $11.8k |
| 12 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $14.5k | $14.5k | — | — | 19 | $14.5k – $14.5k |
| 13 | Caresource exchange other · outpatient | $15.3k | $15.3k | — | — | 1–10 | $15.3k – $15.3k |
| 14 | UnitedHealthcare all commercial plans other · outpatient | $17.2k | $17.2k | — | — | 1–10 | $17.2k – $17.2k |
| 15 | UnitedHealthcare options other commercial plan other · outpatient | $17.3k | $17.3k | — | — | 15 | $17.3k – $17.3k |
| 16 | Aetna all commercial plans other · outpatient | $18.8k | $18.8k | — | — | 12 | $18.8k – $18.8k |
| 17 | Aetna meritain/asa other commercial plan other · outpatient | $19.2k | $19.2k | — | — | 1–10 | $19.2k – $19.2k |
| 18 | Medical Mutual all commercial plans other · outpatient | $21.2k | $21.2k | — | — | 1–10 | $21.2k – $21.2k |
| 19 | Cigna great west other commercial plan other · outpatient | $22.2k | $22.2k | — | — | 1–10 | $22.2k – $22.2k |
| 20 | Cigna hmo other · outpatient | $24.7k | $24.7k | — | — | 1–10 | $24.7k – $24.7k |
Last updated: Apr 1, 2026
See Level 4 ENT Procedures pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.