APC 5094
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.
Original text from hospital filings
Level 4 Breast/Lymphatic Surgery and Related Procedures
Houston, TX
See all hospitals reporting APC 5094 →Price type
The Methodist Hospital’s median price of $23.4k is 35% above the median hospital's median price ($17.3k), higher than 70% of the 465 hospitals reporting APC 5094. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 7 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 medicare managed care - ppo other · outpatient | $17.5k | $17.5k | — | — | 1–10 | $17.5k – $17.5k |
| 2 | Aetna medicare managed care - hmo/ppo other · outpatient | $17.8k | $17.8k | — | — | 1–10 | $17.8k – $17.8k |
| 3 | Aetna hmo/pos/ppo other · outpatient | $23.0k | $23.0k | — | — | 1–10 | $23.0k – $23.0k |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $23.9k | $23.9k | — | — | 1–10 | $23.9k – $23.9k |
| 5 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $30.5k | $30.5k | — | — | 1–10 | $30.5k – $30.5k |
| 6 | Blue Cross Blue Shield all commercial plans other · outpatient | $52.0k | $52.0k | — | — | 1–10 | $52.0k – $52.0k |
| 7 | UnitedHealthcare all commercial plans other · outpatient | $138.6k | $138.6k | — | — | 1–10 | $138.6k – $138.6k |
Last updated: Apr 1, 2026
See Level 4 breast or lymphatic procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.