APC 05021

Level 1 emergency department visit

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LEVEL I ED MINOR

UnitedHealthcare pricing summary

Low

$46

Average

$105

Median

$88

High

$301

UnitedHealthcare rate distribution

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24 hospital rates

#		Plans
1	Mercy Memorial Hospital Corporation Monroe, MI facility · other · outpatient	1	$51	$51	—	—	1–10	$51 – $51
2	Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient	2	$81	$81	$1	1%	—	$81 – $82
3	BERTRAND CHAFFEE HOSPITAL SPRINGVILLE, NY fee schedule · both	1	$105	$105	—	—	—	$105 – $105
4	Chapman Global Medical Center Orange, CA facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
5	Coffee Regional Medical Center, Inc Douglas, GA facility · fee schedule · outpatient	1	$78	$78	—	—	—	$78 – $78
6	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
7	Emerson Hospital Concord, MA facility · fee schedule · outpatient	1	$99	$99	—	—	—	$99 – $99
8	Glenwood Regional Medical Center - HSA West Monroe, LA facility · fee schedule · outpatient	1	$97	$97	—	—	—	$97 – $97
9	Glenwood Regional Medical Center - HSA West Monroe, LA facility · per diem · outpatient	1	$77	$77	—	—	—	$77 – $77
10	HSA CGH LLC Coral Gables, FL facility · fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
11	HSA PGH LLC Hialeah, FL facility · fee schedule · outpatient	1	$88	$88	—	—	—	$88 – $88
12	Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
13	MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient	5	$348	$267	$138	52%	—	$100 – $418
14	MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient	5	$408	$301	$165	55%	—	$100 – $472
15	National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient	2	$90	$90	$0	0%	—	$90 – $90
16	Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
17	Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient	1	$84	$84	—	—	—	$84 – $84
18	Northside Hospital, Inc. Cumming, GA fee schedule · outpatient	1	$84	$84	—	—	—	$84 – $84
19	Northside Hospital, Inc. Duluth, GA fee schedule · outpatient	1	$83	$83	—	—	—	$83 – $83
20	Northside Hospital, Inc. Canton, GA fee schedule · outpatient	1	$84	$84	—	—	—	$84 – $84
21	Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
22	The Toledo Hospital Maumee, OH facility · fee schedule · outpatient	1	$46	$46	—	—	—	$46 – $46
23	United Regional Health Care System Falls, TX facility · fee schedule · outpatient	1	$95	$95	—	—	—	$95 – $95
24	Victor Valley Global Medical Center Victorville, CA facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108