APC 5411

Level 1 gynecologic 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 Gynecologic Procedures

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 $243 is 5% below the median hospital's median price ($256), higher than 48% of the 666 hospitals reporting APC 5411. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5411 at Riverside Methodist Hospital

Negotiated rates from the hospital’s own file: 8 payers, 17 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 medicare managed care plan other · outpatient	$164	$164	—	—	1–10	$164 – $164
2	UnitedHealthcare medicare managed care plan other · outpatient	$164	$164	—	—	1–10	$164 – $164
3	UnitedHealthcare medicaid managed care plan other · outpatient	$205	$205	—	—	22	$205 – $205
4	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$207	$207	—	—	41	$207 – $207
5	Blue Cross Blue Shield pathway exchange other · outpatient	$217	$217	—	—	12	$217 – $217
6	Humana medicaid managed care plan other · outpatient	$217	$217	—	—	58	$217 – $217
7	Molina medicaid managed care plan other · outpatient	$217	$217	—	—	92	$217 – $217
8	Caresource medicaid managed care plan other · outpatient	$243	$243	—	—	159	$243 – $243
9	Medical Mutual exchange other · outpatient	$288	$288	—	—	1–10	$288 – $288
10	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$476	$476	—	—	63	$476 – $476
11	Medical Mutual all commercial plans other · outpatient	$483	$483	—	—	33	$483 – $483
12	UnitedHealthcare all commercial plans other · outpatient	$493	$493	—	—	24	$493 – $493
13	Cigna hmo other · outpatient	$509	$509	—	—	17	$509 – $509
14	UnitedHealthcare options other commercial plan other · outpatient	$535	$535	—	—	51	$535 – $535
15	Aetna all commercial plans other · outpatient	$547	$547	—	—	42	$547 – $547
16	Aetna meritain/asa other commercial plan other · outpatient	$547	$547	—	—	1–10	$547 – $547
17	Cigna great west other commercial plan other · outpatient	$636	$636	—	—	1–10	$636 – $636

Last updated: Apr 1, 2026

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