APC 1559

New technology procedure, level 22 at Texas Orthopedic Hospital

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

New Technology - Level 22

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Texas Orthopedic Hospital’s median price of $2.3k is about the same as the median hospital's median price ($2.3k), higher than 43% of the 221 hospitals reporting APC 1559. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 1559 at Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 9 payers, 25 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	Oscar mgmcr fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
3	Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
4	Cigna Healthspring mcrhmo fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
5	Cigna Healthspring mcrppo fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
6	Cigna Healthspring mcrsnp fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
7	Cigna Healthspring mmp fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
8	Cigna Healthspring pffs fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
9	Devoted mgmcr fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
10	Humana medicareadvantagehmo fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
11	Humana medicareadvantageppopffs fee schedule · outpatient	$2.2k	$2.2k	—	—	—	$2.2k – $2.2k
12	UnitedHealthcare mcr fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
13	WellCare mcrhmo fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
14	WellCare pffs fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
15	WellCare pos fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
16	WellCare ppo fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
17	WellCare snp fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
18	Superior Healthplan dualeligible fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
19	Superior Healthplan mcrhmo fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
20	Superior Healthplan mcrpos fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
21	Superior Healthplan mcrppo fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
22	Superior Healthplan mcrsnp fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
23	Superior Healthplan pffs fee schedule · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
24	Molina mgmcr fee schedule · outpatient	$2.4k	$2.4k	—	—	—	$2.4k – $2.4k
25	Molina hix fee schedule · outpatient	$4.8k	$4.8k	—	—	—	$4.8k – $4.8k

Last updated: May 14, 2026

Compare to other hospitals

See New technology procedure, level 22 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.