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
Saint Louis, MO
See all hospitals reporting APC 5313 →Price type
SSM-SLUH, Inc.’s median price of $2.6k is 15% below the median hospital's median price ($3.1k), higher than 7% of the 687 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: 6 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $739 | $739 | — | — | 1–10 | $739 – $739 |
| 2 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 17 | $1.3k – $1.3k |
| 3 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 4 | Molina medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 5 | Aetna better health medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 6 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 7 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $1.7k | $1.7k | — | — | 34 | $1.7k – $1.7k |
| 8 | Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 9 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 11 | $2.6k – $2.6k |
| 10 | UnitedHealthcare employee other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 11 | UnitedHealthcare medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 32 | $2.6k – $2.6k |
| 12 | Humana medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 13 | Aetna gold advantage medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 14 | UnitedHealthcare optum vaccn government other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 15 | Cigna all commercial plans other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 16 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 17 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $3.6k | $3.6k | — | — | 24 | $3.6k – $3.6k |
| 18 | Aetna all commercial plans other · outpatient | $3.7k | $3.7k | — | — | 12 | $3.7k – $3.7k |
| 19 | UnitedHealthcare options ppo other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 20 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
Last updated: Apr 1, 2026
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