APC 5163
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 3 ENT Procedures
Houston, TX
See all hospitals reporting APC 5163 →Price type
The Methodist Hospital’s median price of $3.1k is 83% above the median hospital's median price ($1.7k), higher than 81% of the 600 hospitals reporting APC 5163. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 13 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 - hmo other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 2 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 3 | UnitedHealthcare medicare managed care - ppo other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 4 | Aetna medicare managed care - hmo/ppo other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 5 | Molina exchange other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 6 | Phcs ppo other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 7 | Blue Cross Blue Shield all commercial plans other · outpatient | $3.2k | $3.2k | — | — | 21 | $3.2k – $3.2k |
| 8 | Cigna network c-24 hmo/ppo other · outpatient | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 9 | UnitedHealthcare all commercial plans other · outpatient | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 10 | Devoted medicare managed care - hmo other · outpatient | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 11 | Aetna hmo/pos/ppo other · outpatient | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 12 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $9.4k | $9.4k | — | — | 1–10 | $9.4k – $9.4k |
| 13 | Cigna local plus/surefit hmo/ppo other · outpatient | $18.3k | $18.3k | — | — | 1–10 | $18.3k – $18.3k |
Last updated: Apr 1, 2026
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