APC 05022
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
ER LEVEL 2 LOW
Low
$123
Average
$247
Median
$192
High
$565
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
27 payers; the 90th percentile is 2.9× 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 | $530 | $530 | $45 | 9% | 309 | $485 – $575 |
| 2 | Aetna Better Health facility · other · outpatient · +1 other terms | 4 | $91 | $91 | — | — | 1–10 | $91 – $91 |
| 3 | Humana fee schedule · outpatient · +2 other terms | 86 | $153 | $150 | $7 | 5% | — | $112 – $163 |
| 4 | Caresource fee schedule · outpatient · +1 other terms | 20 | $157 | $157 | $1 | 0% | — | $156 – $158 |
| 5 | UnitedHealthcare facility · fee schedule · outpatient · +4 other terms | 16 | $175 | $285 | $233 | 82% | — | $84 – $860 |
| 6 | Aetna facility · fee schedule · outpatient · +4 other terms | 14 | $150 | $188 | $91 | 48% | — | $142 – $476 |
| 7 | Medicare facility · fee schedule · outpatient · +2 other terms | 12 | $158 | $365 | $778 | 213% | — | $140 – $3.5k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 11 | $148 | $151 | $3 | 2% | — | $148 – $153 |
| 9 | Molina facility · fee schedule · outpatient · +1 other terms | 8 | $194 | $374 | $772 | 206% | — | $143 – $3.6k |
| 10 | Anthem facility · fee schedule · outpatient | 5 | $564 | $506 | $219 | 43% | — | $143 – $775 |
| 11 | Clover fee schedule · outpatient | 5 | $161 | $160 | $1 | 1% | — | $159 – $161 |
| 12 | Kaiser fee schedule · outpatient · +2 other terms | 5 | $158 | $157 | $1 | 1% | — | $156 – $158 |
| 13 | WellCare fee schedule · outpatient · +2 other terms | 5 | $158 | $157 | $1 | 1% | — | $156 – $158 |
| 14 | Ambetter facility · fee schedule · outpatient | 4 | $249 | $231 | $47 | 20% | — | $194 – $297 |
| 15 | Cigna facility · fee schedule · outpatient · +1 other terms | 4 | $481 | $451 | $163 | 36% | — | $166 – $625 |
| 16 | Devoted facility · fee schedule · outpatient | 4 | $156 | $154 | $5 | 4% | — | $147 – $160 |
| 17 | Tricare facility · fee schedule · outpatient · +1 other terms | 4 | $172 | $171 | $10 | 6% | — | $157 – $181 |
| 18 | Amerihealth Caritas facility · fee schedule · outpatient | 3 | $253 | $219 | $89 | 41% | — | $153 – $345 |
| 19 | Bcbs Mi facility · fee schedule · outpatient · +1 other terms | 3 | $151 | $151 | $3 | 2% | — | $148 – $155 |
| 20 | Carefirst facility · fee schedule · outpatient | 3 | $181 | $173 | $10 | 6% | — | $161 – $181 |
| 21 | Medica facility · fee schedule · outpatient | 3 | $165 | $165 | — | — | — | $165 – $165 |
| 22 | Bcbs Ca facility · fee schedule · outpatient | 2 | $611 | $565 | $260 | 46% | — | $197 – $749 |
| 23 | MultiPlan facility · other · outpatient · +1 other terms | 2 | $257 | $257 | — | — | — | $257 – $257 |
| 24 | Cigna Healthspring facility · fee schedule · outpatient | 1 | $148 | $148 | — | — | — | $148 – $148 |
| 25 | Highmark facility · fee schedule · outpatient · +1 other terms | 1 | $149 | $149 | $10 | 7% | — | $137 – $161 |
← Hospitals reporting APC 05022 · Snapshot 20261111T120946Z-9134e7f7