APC 5021
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 1 Type A ED Visits
Low
$73
Average
$90
Median
$91
High
$136
Each hospital's average Clover rate, under the methodology and billing class chosen below.
29 hospitals; the 90th percentile is 1.3× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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29 hospital rates
iThe hospitals that file a Clover rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 2 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 3 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 4 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 6 | McLeod Health Dillon, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 7 | McLeod Health Cheraw, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 8 | McLeod Health Manning, SC case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 9 | McLeod Health Florence, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 10 | McLeod Health Beach, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | McLeod Health Loris, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 12 | McLeod Health River, SC case rate · outpatient | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 13 | Northwest Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 14 | Northwest Sahurita Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 15 | Northwest Sahurita Hospital LLC Sahuarita, AZ facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 16 | Oro Valley Hospital LLC Tucson, AZ facility · fee schedule · outpatient | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 17 | Penn Medicine Princeton Medical Center Princeton, NJ facility · other · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 18 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 19 | Phoebe Sumter Medical Center Americus, GA other · outpatient | 1 | $136 | $136 | — | — | 1–10 | $136 – $136 |
| 20 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 21 | QHG of Enterprise Inc Enterprise, AL facility · fee schedule · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 22 | The Chester County Hospital West Chester, PA facility · other · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 23 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 24 | Triad of Alabama LLC Dothan, AL facility · fee schedule · outpatient | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 25 | Virtua_Memorial_Hospital_Inc | Holly, NJ case rate · outpatient | 1 | $99 | $99 | — | — | — | $99 – $99 |
← Payers reporting APC 5021 · Snapshot 20261111T120946Z-9134e7f7