APC 05023

Emergency department visit, level 3

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

HC ER OUTPT LEVEL 3

Payers reporting APC 05023

Payer pricing summary

Low

$211

Average

$428

Median

$341

High

$1.0k

Payer rate distribution

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Filter by billing class

#
1	Medical Mutual facility · other · outpatient	2	$943	$916	$76	8%	1,028	$863 – $1.0k
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$161	$161	—	—	1–10	$161 – $161
3	Humana fee schedule · outpatient · +2 other terms	86	$272	$267	$13	5%	—	$200 – $289
4	Caresource fee schedule · outpatient · +1 other terms	20	$280	$280	$1	0%	—	$278 – $281
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	16	$311	$481	$402	83%	—	$149 – $1.5k
6	Aetna facility · fee schedule · outpatient · +4 other terms	14	$267	$322	$145	45%	—	$252 – $846
7	Medicare facility · fee schedule · outpatient · +2 other terms	12	$281	$466	$714	153%	—	$248 – $3.5k
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$262	$268	$5	2%	—	$262 – $273
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$343	$503	$727	145%	—	$254 – $3.7k
10	Anthem facility · fee schedule · outpatient	5	$988	$906	$383	42%	—	$254 – $1.4k
11	Clover fee schedule · outpatient	5	$286	$284	$2	1%	—	$283 – $286
12	Kaiser fee schedule · outpatient · +2 other terms	5	$281	$279	$2	1%	—	$278 – $281
13	WellCare fee schedule · outpatient · +2 other terms	5	$281	$279	$2	1%	—	$278 – $281
14	Ambetter facility · fee schedule · outpatient	4	$443	$390	$73	19%	—	$346 – $527
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$852	$810	$272	34%	—	$294 – $1.1k
16	Devoted facility · fee schedule · outpatient	4	$277	$271	$9	3%	—	$261 – $285
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$307	$305	$18	6%	—	$279 – $322
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$449	$390	$158	41%	—	$271 – $613
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$269	$269	$5	2%	—	$262 – $276
20	Carefirst facility · fee schedule · outpatient	3	$322	$308	$18	6%	—	$286 – $322
21	Medica facility · fee schedule · outpatient	3	$293	$293	—	—	—	$293 – $293
22	Bcbs Ca facility · fee schedule · outpatient	2	$1.1k	$1.0k	$463	46%	—	$349 – $1.3k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$458	$458	—	—	—	$458 – $458
24	Cigna Healthspring facility · fee schedule · outpatient	1	$263	$263	—	—	—	$263 – $263
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$262	$262	$18	7%	—	$240 – $282

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