APC 05024

Emergency department visit, level 4

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 SANE EXAM CPT 99284

Payers reporting APC 05024

Payer pricing summary

Low

$345

Average

$732

Median

$531

High

$1.9k

Payer rate distribution

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Filter by billing class

#
1	Medical Mutual facility · other · outpatient	2	$1.4k	$1.4k	$116	8%	1,075	$1.3k – $1.6k
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$247	$247	—	—	1–10	$247 – $247
3	Humana fee schedule · outpatient · +2 other terms	86	$415	$416	$17	4%	—	$305 – $442
4	Caresource fee schedule · outpatient · +1 other terms	20	$428	$427	$2	1%	—	$424 – $430
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	16	$487	$764	$666	87%	—	$229 – $3.8k
6	Aetna facility · fee schedule · outpatient · +4 other terms	14	$409	$639	$884	138%	—	$385 – $5.7k
7	Medicare facility · fee schedule · outpatient · +2 other terms	12	$430	$519	$392	76%	—	$380 – $3.5k
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$401	$414	$5	1%	—	$401 – $417
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$532	$600	$486	81%	—	$388 – $3.7k
10	Anthem facility · fee schedule · outpatient	5	$1.5k	$1.4k	$591	42%	—	$388 – $2.1k
11	Clover fee schedule · outpatient	5	$438	$435	$3	1%	—	$432 – $438
12	Kaiser fee schedule · outpatient · +2 other terms	5	$430	$427	$3	1%	—	$424 – $430
13	WellCare fee schedule · outpatient · +2 other terms	5	$430	$427	$3	1%	—	$424 – $430
14	Ambetter facility · fee schedule · outpatient	4	$806	$795	$959	121%	—	$528 – $5.5k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$1.3k	$1.3k	$397	31%	—	$450 – $1.7k
16	Devoted facility · fee schedule · outpatient	4	$436	$728	$1.0k	139%	—	$399 – $4.1k
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$469	$469	$26	6%	—	$426 – $493
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$686	$647	$251	39%	—	$415 – $937
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$411	$411	$7	2%	—	$401 – $422
20	Carefirst facility · fee schedule · outpatient	3	$493	$471	$27	6%	—	$437 – $493
21	Medica facility · fee schedule · outpatient	3	$447	$447	—	—	—	$447 – $447
22	Bcbs Ca facility · fee schedule · outpatient	2	$1.7k	$1.5k	$707	46%	—	$534 – $2.0k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$662	$662	$43	7%	—	$612 – $699
24	Cigna Healthspring facility · fee schedule · outpatient	1	$402	$402	—	—	—	$402 – $402
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$403	$403	$28	7%	—	$370 – $433

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