APC 05035
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
Level 5 Type B ED Visits
Low
$390
Average
$464
Median
$472
High
$513
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
10 payers; the 90th percentile is 1.3× 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 | Humana fee schedule · outpatient · +1 other terms | 81 | $409 | $399 | $19 | 5% | — | $301 – $435 |
| 2 | Caresource fee schedule · outpatient | 15 | $421 | $421 | — | — | — | $421 – $421 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +1 other terms | 6 | $395 | $395 | — | — | — | $395 – $395 |
| 4 | Medicare fee schedule · both | 2 | $440 | $430 | $72 | 17% | — | $367 – $513 |
| 5 | Tricare fee schedule · both · +1 other terms | 2 | $432 | $432 | $84 | 19% | — | $294 – $513 |
| 6 | Aetna fee schedule · both | 1 | $513 | $513 | — | — | — | $513 – $513 |
| 7 | Cigna fee schedule · both | 1 | $513 | $513 | — | — | — | $513 – $513 |
| 8 | Optum fee schedule · both | 1 | $513 | $513 | — | — | — | $513 – $513 |
| 9 | UnitedHealthcare fee schedule · both | 1 | $513 | $513 | — | — | — | $513 – $513 |
| 10 | WellCare fee schedule · both | 1 | $513 | $513 | — | — | — | $513 – $513 |
← Hospitals reporting APC 05035 · Snapshot 20261111T120946Z-9134e7f7