APC 5164
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 4 ENT Procedures
Akron, OH
See all hospitals reporting APC 5164 →Price type
Summa Health System’s median price of $2.9k is 19% below the median hospital's median price ($3.6k), higher than 5% of the 613 hospitals reporting APC 5164. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | UnitedHealthcare medicaid managed care plan other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 2 | UnitedHealthcare community plan medicaid managed care plan other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 3 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $1.8k | $1.8k | $133 | 8% | 2–20 | $1.6k – $1.9k |
| 4 | Caresource medicaid managed care plan other · outpatient | $1.8k | $1.8k | $594 | 33% | 21–30 | $1.2k – $2.4k |
| 5 | Molina medicaid managed care plan other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 6 | Humana medicaid managed care plan other · outpatient | $2.6k | $2.6k | $902 | 34% | 2–20 | $1.7k – $3.5k |
| 7 | Aetna medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 8 | Humana medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 9 | UnitedHealthcare medicare managed care plan other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 10 | Medical Mutual medicare managed care plan other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 11 | Medical Mutual aca exchange other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 12 | Aetna exchange other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 13 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 14 | UnitedHealthcare all commercial plans other · outpatient | $6.8k | $6.8k | $4.3k | 63% | 25 | $2.5k – $11.0k |
| 15 | Aetna all commercial plans other · outpatient | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 16 | Medical Mutual supermed hmo/pos/ppo other · outpatient | $7.3k | $7.3k | $536 | 7% | 53 | $6.8k – $7.8k |
| 17 | Cigna all commercial plans other · outpatient | $9.2k | $9.2k | — | — | 1–10 | $9.2k – $9.2k |
| 18 | Blue Cross Blue Shield anthem blue access/blue preferred hmo/ppo other · outpatient | $10.3k | $10.3k | — | — | 26 | $10.3k – $10.3k |
Last updated: Apr 1, 2026
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