APC 5691

Level 1 drug administration at SSM-SLUH, Inc.

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 Drug Administration

Saint Louis, MO

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Pricing by billing methodology

Price type

How this price compares nationally

SSM-SLUH, Inc.’s median price of $397 is 26% above the median hospital's median price ($314), higher than 51% of the 706 hospitals reporting APC 5691. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5691 at SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 24 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 healthy blue medicaid managed care plan other · outpatient	$41	$41	—	—	68	$41 – $41
2	UnitedHealthcare community care medicaid managed care plan other · outpatient	$47	$47	—	—	59	$47 – $47
3	UnitedHealthcare employee other · outpatient	$139	$139	—	—	1–10	$139 – $139
4	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$241	$241	—	—	18	$241 – $241
5	UnitedHealthcare medicare managed care plan other · outpatient	$251	$251	—	—	72	$251 – $251
6	Medica medicare managed care plan other · outpatient	$266	$266	—	—	1–10	$266 – $266
7	Humana medicare managed care plan other · outpatient	$292	$292	—	—	27	$292 – $292
8	UnitedHealthcare non-ppo other commercial plan other · outpatient	$354	$354	—	—	30	$354 – $354
9	Molina medicaid managed care plan other · outpatient	$356	$356	—	—	1–10	$356 – $356
10	Aetna gold advantage medicare managed care plan other · outpatient	$395	$395	—	—	43	$395 – $395
11	UnitedHealthcare options ppo other · outpatient	$397	$397	—	—	1–10	$397 – $397
12	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$426	$426	—	—	1–10	$426 – $426
13	Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges	$487	$487	—	—	1–10	$487 – $487
14	UnitedHealthcare optum vaccn government other · outpatient	$580	$580	—	—	1–10	$580 – $580
15	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$796	$796	—	—	19	$796 – $796
16	Cigna all commercial plans other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
17	Aetna carelink all commercial plans other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
18	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$1.3k	$1.3k	—	—	28	$1.3k – $1.3k
19	Aetna better health medicaid managed care plan other · outpatient	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k
20	Aetna all commercial plans other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
21	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
22	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$1.7k	$1.7k	—	—	11	$1.7k – $1.7k
23	Optum transplant medicare managed care plan other · outpatient	$9.3k	$9.3k	—	—	1–10	$9.3k – $9.3k
24	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$19.6k	$19.6k	—	—	1–10	$19.6k – $19.6k

Last updated: Apr 1, 2026

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