APC 05021
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 I ED MINOR
Low
$49
Average
$101
Median
$86
High
$183
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 12 hospitals; the 90th percentile is 3.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Armstrong County Memorial Hospital Kittanning, PA | $194 | $174 | $44 | 25% | 37–55 | $76 – $261 |
| 2 | The Toledo Hospital Toledo, OH | $158 | $158 | $108 | 68% | 12 | $46 – $267 |
| 3 | Mercy Memorial Hospital Corporation Monroe, MI | $50 | $50 | $1 | 2% | 3–30 | $46 – $86 |
| 4 | Emma L Bixby Medical Center Adrian, MI | $49 | $49 | $1 | 1% | 1–10 | $46 – $88 |
| 5 | Northside Hospital, Inc. Lawrenceville, GA | $85 | $85 | — | — | — | $83 – $100 |
| 6 | Northside Hospital, Inc. Canton, GA | $86 | $86 | — | — | — | $84 – $107 |
| 7 | Northside Hospital, Inc. Atlanta, GA | $86 | $86 | — | — | — | $84 – $107 |
| 8 | Northside Hospital, Inc. Duluth, GA | $85 | $85 | — | — | — | $83 – $100 |
| 9 | Northside Hospital, Inc. Cumming, GA | $86 | $86 | — | — | — | $84 – $107 |
| 10 | Bay Park Community Hospital Oregon, OH | $183 | $183 | $133 | 73% | — | $46 – $316 |
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