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
Houston, TX
See all hospitals reporting APC 5164 →Price type
The Methodist Hospital’s median price of $6.2k is 72% above the median hospital's median price ($3.6k), higher than 82% of the 610 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, 17 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 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 2 | Humana medicare managed care - ppo other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 4 | UnitedHealthcare medicare managed care - ppo other · outpatient | $3.2k | $3.2k | — | — | 11 | $3.2k – $3.2k |
| 5 | Aetna medicare managed care - hmo/ppo other · outpatient | $3.3k | $3.3k | — | — | 16 | $3.3k – $3.3k |
| 6 | Devoted medicare managed care - hmo other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 7 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $6.0k | $6.0k | — | — | 1–10 | $6.0k – $6.0k |
| 8 | UnitedHealthcare all commercial plans other · outpatient | $6.2k | $6.2k | — | — | 45 | $6.2k – $6.2k |
| 9 | Aetna new business discount other commercial plan other · outpatient | $6.3k | $6.3k | — | — | 1–10 | $6.3k – $6.3k |
| 10 | Cigna network c-24 hmo/ppo other · outpatient | $6.7k | $6.7k | — | — | 12 | $6.7k – $6.7k |
| 11 | Cigna local plus/surefit hmo/ppo other · outpatient | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 12 | Molina exchange other · outpatient | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
| 13 | Blue Cross Blue Shield all commercial plans other · outpatient | $7.9k | $7.9k | — | — | 183 | $7.9k – $7.9k |
| 14 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $8.7k | $8.7k | — | — | 53 | $8.7k – $8.7k |
| 15 | Aetna hmo/pos/ppo other · outpatient | $8.9k | $8.9k | — | — | 45 | $8.9k – $8.9k |
| 16 | Cigna all other benefit plans ppo other · outpatient | $22.9k | $22.9k | — | — | 1–10 | $22.9k – $22.9k |
| 17 | First Health first health/coventry ppo other · outpatient | $27.6k | $27.6k | — | — | 1–10 | $27.6k – $27.6k |
Last updated: Apr 1, 2026
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