APC 5022

Emergency department visit, level 2

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 2 Type A ED Visits

Payers reporting APC 5022

Payer pricing summary

Low

$105

Average

$342

Median

$306

High

$696

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield other · outpatient · +8 other terms	229	$445	$600	$570	95%	70,304–73,544	$2 – $4.7k
2	UnitedHealthcare other · outpatient · +8 other terms	245	$404	$520	$595	114%	41,679–43,875	$27 – $4.1k
3	Caresource other · outpatient · +3 other terms	33	$179	$211	$127	60%	29,612–29,864	$68 – $671
4	Aetna other · outpatient · +8 other terms	223	$350	$485	$507	105%	23,281–25,405	$20 – $3.1k
5	Molina other · outpatient · +7 other terms	131	$157	$175	$95	54%	21,083–22,064	$2 – $673
6	Humana other · outpatient · +7 other terms	188	$154	$164	$139	85%	12,792–13,647	$23 – $1.6k
7	Cigna other · outpatient · +6 other terms	177	$558	$701	$523	75%	10,722–12,000	$23 – $4.1k
8	Excellus facility · other · outpatient · +1 other terms	8	$304	$306	$236	77%	4,940–4,994	$137 – $822
9	Medical Mutual other · outpatient · +4 other terms	23	$442	$426	$259	61%	3,199–3,487	$13 – $965
10	Healthpartners other · outpatient · +2 other terms	7	$403	$387	$209	54%	1,350–1,620	$84 – $865
11	Kaiser other · outpatient · +6 other terms	48	$421	$501	$532	106%	1,302–1,734	$35 – $2.9k
12	WellCare facility · other · outpatient · +5 other terms	68	$149	$131	$55	42%	1,173–1,596	$30 – $300
13	Ambetter facility · other · outpatient · +5 other terms	27	$211	$243	$86	35%	1,151–1,178	$151 – $577
14	Oscar facility · other · outpatient · +5 other terms	39	$274	$460	$280	61%	929–1,064	$196 – $950
15	First Health other · outpatient · +4 other terms	42	$411	$614	$645	105%	735–1,077	$15 – $3.1k
16	Amerihealth Caritas facility · other · outpatient · +3 other terms	12	$114	$138	$44	32%	499–553	$83 – $220
17	Optum facility · other · outpatient · +4 other terms	28	$158	$333	$379	114%	405–585	$32 – $1.5k
18	Aetna Better Health other · outpatient · +1 other terms	1	$71	$71	—	—	293	$71 – $71
19	Magellan facility · other · outpatient · +2 other terms	8	$91	$91	$3	3%	275–284	$89 – $98
20	Highmark facility · other · outpatient · +2 other terms	9	$252	$305	$141	46%	246–300	$146 – $633
21	Bcbs Mi other · outpatient · +1 other terms	3	$265	$256	$29	11%	204–213	$206 – $277
22	Bcbs Mn other · outpatient · +1 other terms	1	$299	$299	$138	46%	180–189	$138 – $498
23	MultiPlan other · outpatient · +3 other terms	17	$645	$999	$1.1k	108%	164–290	$70 – $4.4k
24	Tricare other · outpatient · +3 other terms	21	$178	$393	$972	248%	162–306	$65 – $5.0k
25	Carefirst facility · other · outpatient	1	$305	$305	$2	1%	139	$304 – $307

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