APC 5823

Health and behavior services, level 3 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 3 Health and Behavior Services

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 $197 is 5% above the median hospital's median price ($188), higher than 66% of the 420 hospitals reporting APC 5823. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5823 at SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 7 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	Medica exchange other · outpatient	$62	$62	—	—	1–10	$62 – $62
2	Humana medicare managed care plan other · outpatient	$123	$123	—	—	1–10	$123 – $123
3	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$139	$139	—	—	11	$139 – $139
4	Aetna gold advantage medicare managed care plan other · outpatient	$152	$152	—	—	16	$152 – $152
5	UnitedHealthcare community care medicaid managed care plan other · outpatient	$156	$156	—	—	84	$156 – $156
6	UnitedHealthcare non-ppo other commercial plan other · outpatient	$164	$164	—	—	11	$164 – $164
7	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$175	$175	—	—	26	$175 – $175
8	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$177	$177	—	—	48	$177 – $177
9	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$177	$177	—	—	1–10	$177 – $177
10	Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges	$183	$183	—	—	1–10	$183 – $183
11	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$192	$192	—	—	58	$192 – $192
12	Molina medicaid managed care plan other · outpatient	$202	$202	—	—	12	$202 – $202
13	Aetna better health medicaid managed care plan other · outpatient	$204	$204	—	—	1–10	$204 – $204
14	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$221	$221	—	—	82	$221 – $221
15	Cigna all commercial plans other · outpatient	$247	$247	—	—	16	$247 – $247
16	Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges	$296	$296	—	—	1–10	$296 – $296
17	Aetna all commercial plans other · outpatient	$302	$302	—	—	30	$302 – $302
18	UnitedHealthcare medicare managed care plan other · outpatient	$302	$302	—	—	1–10	$302 – $302
19	UnitedHealthcare options ppo other · outpatient	$302	$302	—	—	1–10	$302 – $302
20	Aetna carelink all commercial plans other · outpatient	$594	$594	—	—	1–10	$594 – $594

Last updated: Apr 1, 2026

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