APC 05025

Emergency department visit, level 5

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 5

Payers reporting APC 05025

Payer pricing summary

Low

$440

Average

$914

Median

$704

High

$2.2k

Payer rate distribution

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Filter by billing class

#
1	Medical Mutual facility · other · outpatient	2	$2.1k	$2.0k	$165	8%	359	$1.9k – $2.2k
2	Humana fee schedule · outpatient · +2 other terms	86	$592	$583	$28	5%	—	$436 – $631
3	Caresource fee schedule · outpatient · +1 other terms	20	$611	$610	$2	0%	—	$605 – $613
4	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	16	$679	$1.1k	$895	83%	—	$326 – $3.3k
5	Aetna facility · fee schedule · outpatient · +4 other terms	14	$583	$707	$331	47%	—	$550 – $1.8k
6	Medicare facility · fee schedule · outpatient · +2 other terms	12	$614	$660	$83	13%	—	$542 – $766
7	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$572	$584	$10	2%	—	$572 – $595
8	Molina facility · fee schedule · outpatient · +1 other terms	8	$761	$744	$83	11%	—	$554 – $873
9	Anthem facility · fee schedule · outpatient	5	$2.2k	$2.0k	$852	42%	—	$554 – $3.0k
10	Clover fee schedule · outpatient	5	$625	$620	$4	1%	—	$617 – $625
11	Kaiser fee schedule · outpatient · +2 other terms	5	$613	$609	$4	1%	—	$605 – $613
12	WellCare fee schedule · outpatient · +2 other terms	5	$613	$609	$4	1%	—	$605 – $613
13	Aetna Better Health facility · other · outpatient · +1 other terms	4	$352	$352	—	—	—	$352 – $352
14	Ambetter facility · fee schedule · outpatient	4	$967	$875	$174	20%	—	$754 – $1.2k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$1.9k	$1.8k	$613	35%	—	$642 – $2.4k
16	Devoted facility · fee schedule · outpatient	4	$604	$593	$22	4%	—	$569 – $622
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$669	$665	$40	6%	—	$608 – $704
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$979	$850	$344	41%	—	$592 – $1.3k
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$587	$587	$10	2%	—	$572 – $602
20	Carefirst facility · fee schedule · outpatient	3	$704	$672	$39	6%	—	$624 – $704
21	Medica facility · fee schedule · outpatient	3	$638	$638	—	—	—	$638 – $638
22	Bcbs Ca facility · fee schedule · outpatient	2	$2.4k	$2.2k	$1.0k	46%	—	$762 – $2.9k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$998	$998	—	—	—	$998 – $998
24	Cigna Healthspring facility · fee schedule · outpatient	1	$574	$574	—	—	—	$574 – $574
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$578	$578	$39	7%	—	$532 – $624

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