APC 5032

Level 2 emergency department visit

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 B ED Visits

Payers reporting APC 5032

Payer pricing summary

Low

$58

Average

$125

Median

$107

High

$265

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +3 other terms	155	$97	$100	$18	18%	—	$82 – $194
2	Devoted fee schedule · outpatient	122	$93	$104	$26	25%	—	$86 – $170
3	Humana fee schedule · outpatient · +3 other terms	114	$93	$94	$6	7%	—	$82 – $119
4	UnitedHealthcare fee schedule · outpatient · +4 other terms	106	$97	$98	$9	9%	—	$83 – $116
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	80	$93	$101	$33	32%	—	$82 – $355
6	Molina fee schedule · outpatient · +3 other terms	52	$201	$185	$57	31%	—	$88 – $245
7	Superior Healthplan fee schedule · outpatient	43	$121	$109	$12	11%	—	$98 – $121
8	Cigna Healthspring fee schedule · outpatient	39	$95	$95	$3	3%	—	$93 – $104
9	Anthem fee schedule · outpatient · +1 other terms	31	$98	$100	$8	8%	—	$88 – $119
10	Oscar fee schedule · outpatient	17	$91	$110	$39	36%	—	$91 – $194
11	WellCare case rate · outpatient · +2 other terms	16	$116	$118	$10	8%	—	$108 – $131
12	Kaiser fee schedule · outpatient · +1 other terms	15	$100	$101	$4	4%	—	$98 – $113
13	Ambetter case rate · outpatient · +2 other terms	12	$184	$212	$36	17%	—	$181 – $254
14	Clover case rate · outpatient	12	$106	$113	$10	8%	—	$105 – $125
15	Cigna case rate · outpatient · +1 other terms	11	$271	$234	$113	48%	—	$123 – $463
16	Medicare case rate · outpatient · +2 other terms	8	$101	$102	$2	2%	—	$101 – $108
17	Optum fee schedule · outpatient	8	$96	$141	$65	46%	—	$93 – $233
18	Tricare case rate · outpatient · +1 other terms	7	$97	$97	—	—	—	$97 – $97
19	Excellus case rate · outpatient	5	$264	$265	$68	26%	—	$164 – $386
20	Highmark case rate · outpatient	5	$116	$165	$62	38%	—	$116 – $272
21	Sanford Health Plan case rate · outpatient	3	$160	$161	$16	10%	—	$134 – $185
22	Aetna Better Health facility · case rate · outpatient	1	$85	$85	$28	32%	—	$58 – $113
23	Magellan fee schedule · outpatient	1	$91	$91	—	—	—	$91 – $91
24	Medicaid facility · case rate · outpatient	1	$58	$58	—	—	—	$58 – $58