APC 5021

Emergency department visit, level 1

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

Level 1 Type A ED Visits

Payers reporting APC 5021

Payer pricing summary

Low

$57

Average

$232

Median

$184

High

$1.0k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield other · outpatient · +8 other terms	218	$242	$321	$329	102%	20,146–24,178	$2 – $4.1k
2	Molina other · outpatient · +7 other terms	108	$116	$127	$82	65%	8,657–9,620	$22 – $730
3	UnitedHealthcare other · outpatient · +7 other terms	216	$219	$271	$264	97%	8,569–11,485	$2 – $1.9k
4	Aetna other · outpatient · +8 other terms	188	$257	$325	$431	133%	5,532–8,142	$1 – $4.9k
5	Humana other · outpatient · +7 other terms	157	$92	$105	$57	54%	2,593–3,880	$1 – $411
6	Excellus facility · other · outpatient · +1 other terms	8	$208	$381	$868	228%	2,497–2,623	$88 – $4.4k
7	Cigna other · outpatient · +6 other terms	144	$401	$487	$442	91%	2,330–3,680	$42 – $3.5k
8	Caresource other · outpatient · +3 other terms	30	$98	$106	$40	38%	1,986–2,112	$12 – $181
9	Kaiser other · outpatient · +6 other terms	49	$199	$215	$153	71%	1,025–1,538	$22 – $1.1k
10	First Health other · outpatient · +4 other terms	20	$257	$330	$195	59%	728–890	$8 – $663
11	Ambetter facility · other · outpatient · +5 other terms	24	$133	$142	$53	38%	352–514	$80 – $358
12	Medical Mutual other · outpatient · +4 other terms	18	$258	$275	$246	90%	228–426	$75 – $1.3k
13	Healthpartners other · outpatient · +2 other terms	6	$110	$119	$84	71%	172–271	$5 – $188
14	Aetna Better Health other · outpatient · +1 other terms	1	$34	$34	—	—	52	$34 – $34
15	Healthcare Highways other · outpatient · +1 other terms	3	$458	$471	$20	4%	47–56	$455 – $500
16	Oscar other · outpatient · +5 other terms	21	$181	$196	$92	47%	37–217	$82 – $510
17	Highmark facility · other · outpatient · +2 other terms	9	$138	$167	$75	45%	19–82	$88 – $337
18	Amerihealth Caritas facility · other · outpatient · +3 other terms	9	$81	$110	$55	50%	9–90	$58 – $223
19	Phcs other · outpatient · +2 other terms	8	$488	$596	$555	93%	8–80	$75 – $2.0k
20	Magellan facility · other · outpatient · +2 other terms	6	$55	$62	$14	23%	6–60	$55 – $94
21	Medicaid other · outpatient · +1 other terms	6	$140	$188	$81	43%	6–60	$121 – $337
22	Ucare facility · other · outpatient · +2 other terms	3	$154	$133	$67	50%	6–60	$81 – $228
23	MultiPlan other · outpatient · +3 other terms	5	$119	$218	$207	95%	5–50	$68 – $627
24	Bcbs Mi other · outpatient · +1 other terms	2	$156	$156	$7	5%	2–20	$149 – $163
25	Bcbs Mn other · outpatient · +1 other terms	1	$1.4k	$1.4k	$1.3k	93%	2–20	$92 – $2.7k

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