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
$68
Average
$140
Median
$105
High
$310
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 3.3× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medical Mutual facility · other · outpatient | 2 | $291 | $291 | $25 | 9% | 12 | $267 – $316 |
| 2 | Humana fee schedule · outpatient · +2 other terms | 86 | $84 | $82 | $4 | 5% | — | $62 – $89 |
| 3 | Caresource fee schedule · outpatient · +1 other terms | 20 | $86 | $86 | $0 | 0% | — | $86 – $87 |
| 4 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $96 | $156 | $128 | 82% | — | $46 – $472 |
| 5 | Aetna facility · fee schedule · outpatient · +4 other terms | 14 | $83 | $102 | $49 | 48% | — | $78 – $261 |
| 6 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $87 | $292 | $793 | 272% | — | $77 – $3.5k |
| 7 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $81 | $83 | $1 | 2% | — | $81 – $84 |
| 8 | Molina facility · fee schedule · outpatient · +1 other terms | 8 | $107 | $281 | $770 | 274% | — | $79 – $3.6k |
| 9 | Anthem facility · fee schedule · outpatient | 5 | $313 | $287 | $132 | 46% | — | $79 – $431 |
| 10 | Clover fee schedule · outpatient | 5 | $88 | $88 | $1 | 1% | — | $87 – $88 |
| 11 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $87 | $86 | $1 | 1% | — | $86 – $87 |
| 12 | WellCare fee schedule · outpatient · +2 other terms | 5 | $87 | $86 | $1 | 1% | — | $86 – $87 |
| 13 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $50 | $50 | — | — | — | $50 – $50 |
| 14 | Ambetter facility · fee schedule · outpatient | 4 | $137 | $127 | $26 | 20% | — | $107 – $163 |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $265 | $248 | $90 | 36% | — | $91 – $343 |
| 16 | Devoted facility · fee schedule · outpatient | 4 | $86 | $85 | $3 | 4% | — | $81 – $88 |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $95 | $94 | $6 | 6% | — | $86 – $100 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $139 | $120 | $49 | 41% | — | $84 – $189 |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $83 | $83 | $1 | 2% | — | $81 – $85 |
| 20 | Carefirst facility · fee schedule · outpatient | 3 | $100 | $95 | $6 | 6% | — | $88 – $100 |
| 21 | Medica facility · fee schedule · outpatient | 3 | $90 | $90 | — | — | — | $90 – $90 |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 2 | $335 | $310 | $143 | 46% | — | $108 – $411 |
| 23 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $141 | $141 | — | — | — | $141 – $141 |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $83 | $83 | $5 | 6% | — | $76 – $90 |
← Hospitals reporting APC 05021 · Snapshot 20261111T120946Z-9134e7f7