APC 5312
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 2 Lower GI Procedures
Houston, TX
See all hospitals reporting APC 5312 →Price type
The Methodist Hospital’s median price of $2.8k is 77% above the median hospital's median price ($1.6k), higher than 81% of the 720 hospitals reporting APC 5312. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 26 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 | Molina medicaid managed care plan other · outpatient | $952 | $952 | — | — | 1–10 | $952 – $952 |
| 2 | Molina advantage medicare managed care plan other · outpatient | $972 | $972 | — | — | 1–10 | $972 – $972 |
| 3 | Humana medicare managed care - ppo other · outpatient | $1.5k | $1.5k | — | — | 156 | $1.5k – $1.5k |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $1.6k | $1.6k | — | — | 104 | $1.6k – $1.6k |
| 5 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $1.6k | $1.6k | — | — | 60 | $1.6k – $1.6k |
| 6 | UnitedHealthcare medicare managed care - ppo other · outpatient | $1.6k | $1.6k | — | — | 162 | $1.6k – $1.6k |
| 7 | Aetna medicare managed care - hmo/ppo other · outpatient | $1.6k | $1.6k | — | — | 127 | $1.6k – $1.6k |
| 8 | UnitedHealthcare medicare managed care - hmo other · outpatient | $1.6k | $1.6k | — | — | 88 | $1.6k – $1.6k |
| 9 | Devoted medicare managed care - hmo other · outpatient | $1.7k | $1.7k | — | — | 31 | $1.7k – $1.7k |
| 10 | Optum transplant medicare managed care plan other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 11 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 12 | Molina exchange other · outpatient | $2.6k | $2.6k | — | — | 25 | $2.6k – $2.6k |
| 13 | Blue Cross Blue Shield all commercial plans other · outpatient | $2.8k | $2.8k | — | — | 879 | $2.8k – $2.8k |
| 14 | Cigna network c-24 hmo/ppo other · outpatient | $4.1k | $4.1k | — | — | 47 | $4.1k – $4.1k |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $4.2k | $4.2k | — | — | 269 | $4.2k – $4.2k |
| 16 | Aetna hmo/pos/ppo other · outpatient | $4.7k | $4.7k | — | — | 160 | $4.7k – $4.7k |
| 17 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $5.2k | $5.2k | — | — | 281 | $5.2k – $5.2k |
| 18 | Aetna transplant other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 19 | Aetna new business discount other commercial plan other · outpatient | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 20 | Cigna local plus/surefit hmo/ppo other · outpatient | $5.7k | $5.7k | — | — | 1–10 | $5.7k – $5.7k |
| 21 | Cigna lifesource transplant other · outpatient | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 22 | Humana transplant medicare managed care plan other · outpatient | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 23 | Optum transplant other · outpatient | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 24 | Cigna all other benefit plans ppo other · outpatient | $8.2k | $8.2k | — | — | 1–10 | $8.2k – $8.2k |
| 25 | First Health first health/coventry ppo other · outpatient | $9.3k | $9.3k | — | — | 1–10 | $9.3k – $9.3k |
Last updated: Apr 1, 2026
See Level 2 lower GI procedure pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.