APC 5023

Emergency department visit, level 3 at Aspirus Tomahawk Hospital

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 A ED Visits

Tomahawk, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Aspirus Tomahawk Hospital’s median price of $602 is 90% above the median hospital's median price ($316), higher than 82% of the 732 hospitals reporting APC 5023. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5023 at Aspirus Tomahawk Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare united healthcare wisconsin medicaid plans other · outpatient	$140	$140	—	—	29	$140 – $140
2	Anthem anthem mediblue dual hmo snp other · outpatient	$331	$331	—	—	1–10	$331 – $331
3	Humana humana medicare ppo/pos/hmo network plans other · outpatient	$382	$382	—	—	1–10	$382 – $382
4	Anthem anthem mediblue plus hmo other · outpatient	$390	$390	—	—	11	$390 – $390
5	UnitedHealthcare united healthcare medicare advantage plans other · outpatient	$399	$399	—	—	44	$399 – $399
6	UnitedHealthcare va community care network other · outpatient	$403	$403	—	—	33	$403 – $403
7	Aetna medicare advantage esa other · outpatient	$412	$412	—	—	1–10	$412 – $412
8	Tricare tricare plans other · outpatient	$425	$425	—	—	1–10	$425 – $425
9	Anthem anthem mediblue access ppo other · outpatient	$521	$521	—	—	1–10	$521 – $521
10	Anthem anthem medicare advantage plans other · outpatient	$542	$542	—	—	14	$542 – $542
11	Anthem anthem wisconsin medicaid plans other · outpatient	$556	$556	—	—	16	$556 – $556
12	MultiPlan phcs ppo networks percent of total billed charges · outpatientfrom % of charges	$923	$923	—	—	1–10	$923 – $923
13	Anthem anthem blue preferred pos other · outpatient	$978	$978	—	—	45	$978 – $978
14	Cigna cigna ppo and open access plus benefit plans percent of total billed charges · outpatientfrom % of charges	$1.0k	$1.0k	—	—	1–10	$1.0k – $1.0k
15	Anthem anthem blue access ppo other · outpatient	$1.0k	$1.0k	—	—	19	$1.0k – $1.0k
16	First Health first health national rental ppo network percent of total billed charges · outpatientfrom % of charges	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
17	UnitedHealthcare united healthcare hmo/ppo/pos/epo networks other · outpatient	$1.1k	$1.1k	—	—	50	$1.1k – $1.1k
18	MultiPlan health eos ppos network plans percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
19	Anthem anthem federal employee program other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
20	MultiPlan aetna health plan ppo networks percent of total billed charges · outpatientfrom % of charges	$2.7k	$2.7k	—	—	1–10	$2.7k – $2.7k

Last updated: Apr 1, 2026

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