APC 5313
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 Lower GI Procedures
Houston, TX
See all hospitals reporting APC 5313 →Price type
The Methodist Hospital’s median price of $3.1k is 2% above the median hospital's median price ($3.1k), higher than 55% of the 685 hospitals reporting APC 5313. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 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 | Molina advantage medicare managed care plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 2 | MultiPlan ppo other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 3 | UnitedHealthcare medicare managed care - ppo other · outpatient | $2.7k | $2.7k | — | — | 20 | $2.7k – $2.7k |
| 4 | UnitedHealthcare medicare managed care - hmo other · outpatient | $2.7k | $2.7k | — | — | 15 | $2.7k – $2.7k |
| 5 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 6 | Humana medicare managed care - ppo other · outpatient | $2.8k | $2.8k | — | — | 26 | $2.8k – $2.8k |
| 7 | Devoted medicare managed care - hmo other · outpatient | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 8 | Aetna medicare managed care - hmo/ppo other · outpatient | $2.9k | $2.9k | — | — | 11 | $2.9k – $2.9k |
| 9 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 10 | Blue Cross Blue Shield all commercial plans other · outpatient | $5.5k | $5.5k | — | — | 139 | $5.5k – $5.5k |
| 11 | UnitedHealthcare all commercial plans other · outpatient | $6.0k | $6.0k | — | — | 39 | $6.0k – $6.0k |
| 12 | Molina exchange other · outpatient | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 13 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $6.8k | $6.8k | — | — | 41 | $6.8k – $6.8k |
| 14 | Phcs ppo other · outpatient | $9.5k | $9.5k | — | — | 1–10 | $9.5k – $9.5k |
| 15 | Aetna hmo/pos/ppo other · outpatient | $10.4k | $10.4k | — | — | 18 | $10.4k – $10.4k |
| 16 | Cigna network c-24 hmo/ppo other · outpatient | $13.5k | $13.5k | — | — | 1–10 | $13.5k – $13.5k |
| 17 | Cigna all other benefit plans ppo other · outpatient | $34.1k | $34.1k | — | — | 1–10 | $34.1k – $34.1k |
Last updated: Apr 1, 2026
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