APC 5033

Emergency department visit, level 3

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 3 Type B ED Visits

Payers reporting APC 5033

Payer pricing summary

Low

$98

Average

$222

Median

$192

High

$491

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +4 other terms	155	$180	$182	$27	15%	—	$152 – $327
2	Devoted fee schedule · outpatient	122	$173	$193	$49	25%	—	$160 – $314
3	Humana fee schedule · outpatient · +3 other terms	114	$173	$173	$8	5%	—	$151 – $221
4	UnitedHealthcare fee schedule · outpatient · +3 other terms	106	$180	$177	$10	5%	—	$153 – $196
5	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	80	$173	$182	$51	28%	—	$151 – $583
6	Molina fee schedule · outpatient · +3 other terms	52	$371	$336	$112	33%	—	$163 – $453
7	Superior Healthplan fee schedule · outpatient	43	$224	$202	$21	11%	—	$181 – $224
8	Cigna Healthspring fee schedule · outpatient	39	$176	$175	$5	3%	—	$173 – $192
9	Anthem fee schedule · outpatient · +1 other terms	31	$181	$181	$10	6%	—	$163 – $221
10	Oscar fee schedule · outpatient	17	$169	$197	$60	30%	—	$169 – $327
11	WellCare case rate · outpatient · +2 other terms	16	$215	$204	$20	10%	—	$182 – $230
12	Kaiser fee schedule · outpatient · +1 other terms	15	$185	$185	$2	1%	—	$181 – $190
13	Ambetter case rate · outpatient · +2 other terms	12	$310	$357	$60	17%	—	$306 – $428
14	Clover case rate · outpatient	12	$179	$191	$16	8%	—	$177 – $210
15	Cigna case rate · outpatient · +1 other terms	11	$502	$424	$218	52%	—	$208 – $857
16	Medicare case rate · outpatient · +2 other terms	8	$170	$172	$4	2%	—	$170 – $182
17	Optum fee schedule · outpatient	8	$173	$259	$122	47%	—	$172 – $432
18	Tricare case rate · outpatient · +1 other terms	7	$163	$163	—	—	—	$163 – $163
19	Excellus case rate · outpatient	5	$488	$491	$126	26%	—	$303 – $714
20	Highmark case rate · outpatient	5	$215	$305	$114	38%	—	$215 – $504
21	Sanford Health Plan case rate · outpatient	3	$270	$272	$28	10%	—	$226 – $311
22	Aetna Better Health facility · case rate · outpatient	1	$144	$144	$46	32%	—	$98 – $190
23	Magellan fee schedule · outpatient	1	$168	$168	—	—	—	$168 – $168
24	Medicaid facility · case rate · outpatient	1	$98	$98	—	—	—	$98 – $98