APC N809

Other medicine services 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

Other Medicine

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 $32 is 84% below the median hospital's median price ($195), higher than 12% of the 256 hospitals reporting APC N809. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC N809 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	Molina medicaid managed care plan other · outpatient	$11	$11	—	—	1–10	$11 – $11
2	Aetna better health medicaid managed care plan other · outpatient	$11	$11	—	—	1–10	$11 – $11
3	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$12	$12	—	—	1–10	$12 – $12
4	Medica exchange other · outpatient	$19	$19	—	—	1–10	$19 – $19
5	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$30	$30	—	—	1–10	$30 – $30
6	UnitedHealthcare medicare managed care plan other · outpatient	$31	$31	—	—	47	$31 – $31
7	Humana medicare managed care plan other · outpatient	$31	$31	—	—	1–10	$31 – $31
8	Aetna gold advantage medicare managed care plan other · outpatient	$31	$31	—	—	25	$31 – $31
9	Aetna medicare managed care plan other · outpatient	$31	$31	—	—	1–10	$31 – $31
10	UnitedHealthcare optum vaccn government other · outpatient	$31	$31	—	—	1–10	$31 – $31
11	UnitedHealthcare community care medicaid managed care plan other · outpatient	$33	$33	—	—	1–10	$33 – $33
12	Optum transplant medicare managed care plan other · outpatient	$35	$35	—	—	1–10	$35 – $35
13	UnitedHealthcare non-ppo other commercial plan other · outpatient	$47	$47	—	—	12	$47 – $47
14	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$47	$47	—	—	1–10	$47 – $47
15	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$48	$48	—	—	1–10	$48 – $48
16	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$48	$48	—	—	1–10	$48 – $48
17	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$48	$48	—	—	1–10	$48 – $48
18	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$52	$52	—	—	1–10	$52 – $52
19	UnitedHealthcare options ppo other · outpatient	$55	$55	—	—	1–10	$55 – $55
20	UnitedHealthcare employee other · outpatient	$188	$188	—	—	1–10	$188 – $188

Last updated: Apr 1, 2026

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