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
Saint Louis, MO
See all hospitals reporting APC 5312 →Price type
SSM-SLUH, Inc.’s median price of $1.5k is about the same as the median hospital's median price ($1.6k), higher than 49% 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: 10 payers, 25 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 pathway exchange other · outpatient | $740 | $740 | — | — | 68 | $740 – $740 |
| 2 | Molina medicaid managed care plan other · outpatient | $794 | $794 | — | — | 16 | $794 – $794 |
| 3 | Aetna better health medicaid managed care plan other · outpatient | $808 | $808 | — | — | 1–10 | $808 – $808 |
| 4 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $808 | $808 | — | — | 1–10 | $808 – $808 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 210 | $1.1k – $1.1k |
| 6 | Humana medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 43 | $1.1k – $1.1k |
| 7 | Optum transplant medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 8 | Aetna gold advantage medicare managed care plan other · outpatient | $1.1k | $1.1k | — | — | 96 | $1.1k – $1.1k |
| 9 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $1.2k | $1.2k | — | — | 15 | $1.2k – $1.2k |
| 10 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $1.2k | $1.2k | — | — | 66 | $1.2k – $1.2k |
| 11 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 136 | $1.3k – $1.3k |
| 12 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $1.3k | $1.3k | — | — | 36 | $1.3k – $1.3k |
| 13 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $1.6k | $1.6k | — | — | 134 | $1.6k – $1.6k |
| 14 | UnitedHealthcare optum vaccn government other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 15 | Medica medicare managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 16 | Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 17 | Cigna all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 56 | $1.7k – $1.7k |
| 18 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $1.9k | $1.9k | — | — | 50 | $1.9k – $1.9k |
| 19 | Oscar exchange other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 20 | Aetna all commercial plans other · outpatient | $2.5k | $2.5k | — | — | 46 | $2.5k – $2.5k |
| 21 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $2.5k | $2.5k | — | — | 172 | $2.5k – $2.5k |
| 22 | UnitedHealthcare options ppo other · outpatient | $2.5k | $2.5k | — | — | 28 | $2.5k – $2.5k |
| 23 | UnitedHealthcare employee other · outpatient | $2.6k | $2.6k | — | — | 29 | $2.6k – $2.6k |
| 24 | Phcs all commercial plans other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 25 | Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | 1–10 | $3.7k – $3.7k |
Last updated: Apr 1, 2026
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