APC 5313
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 3 Lower GI Procedures
Columbus, OH
See all hospitals reporting APC 5313 →Price type
Riverside Methodist Hospital’s median price of $3.5k is 15% above the median hospital's median price ($3.1k), higher than 64% of the 685 hospitals reporting APC 5313. 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, 23 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 | Humana medicaid managed care plan other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 2 | UnitedHealthcare medicaid managed care plan other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 3 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 4 | Molina medicaid managed care plan other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 5 | Medical Mutual medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 6 | Aetna medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 17 | $2.6k – $2.6k |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 8 | Humana medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 9 | Caresource medicaid managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 10 | UnitedHealthcare medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 11 | $2.6k – $2.6k |
| 11 | Medical Mutual exchange other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 12 | Blue Cross Blue Shield pathway exchange other · outpatient | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 13 | First Health first health all commercial plans other · outpatient | $7.6k | $7.6k | — | — | 1–10 | $7.6k – $7.6k |
| 14 | Caresource exchange other · outpatient | $8.8k | $8.8k | — | — | 1–10 | $8.8k – $8.8k |
| 15 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $9.2k | $9.2k | — | — | 54 | $9.2k – $9.2k |
| 16 | UnitedHealthcare options other commercial plan other · outpatient | $12.2k | $12.2k | — | — | 28 | $12.2k – $12.2k |
| 17 | Medical Mutual all commercial plans other · outpatient | $12.8k | $12.8k | — | — | 1–10 | $12.8k – $12.8k |
| 18 | Aetna all commercial plans other · outpatient | $12.8k | $12.8k | — | — | 24 | $12.8k – $12.8k |
| 19 | UnitedHealthcare all commercial plans other · outpatient | $13.6k | $13.6k | — | — | 14 | $13.6k – $13.6k |
| 20 | Aetna meritain/asa other commercial plan other · outpatient | $14.2k | $14.2k | — | — | 1–10 | $14.2k – $14.2k |
| 21 | Cigna hmo other · outpatient | $15.1k | $15.1k | — | — | 1–10 | $15.1k – $15.1k |
| 22 | Cigna great west other commercial plan other · outpatient | $18.1k | $18.1k | — | — | 1–10 | $18.1k – $18.1k |
| 23 | Cigna ppo other · outpatient | $26.2k | $26.2k | — | — | 1–10 | $26.2k – $26.2k |
Last updated: Apr 1, 2026
See Level 3 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.