APC 5023

Emergency department visit, level 3 at Berger 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

Circleville, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Berger Hospital’s median price of $261 is 18% below the median hospital's median price ($316), higher than 5% 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 Berger Hospital

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Devoted medicare managed care plan other · outpatient	$154	$154	—	—	1–10	$154 – $154
2	Molina medicaid managed care plan other · outpatient	$164	$164	—	—	568	$164 – $164
3	Caresource medicaid managed care plan other · outpatient	$165	$165	—	—	827	$165 – $165
4	UnitedHealthcare medicaid managed care plan other · outpatient	$172	$172	—	—	145	$172 – $172
5	Humana medicaid managed care plan other · outpatient	$181	$181	—	—	105	$181 – $181
6	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$200	$200	—	—	97	$200 – $200
7	Humana medicare managed care plan other · outpatient	$233	$233	—	—	107	$233 – $233
8	Molina medicare managed care plan other · outpatient	$239	$239	—	—	46	$239 – $239
9	UnitedHealthcare medicare managed care plan other · outpatient	$255	$255	—	—	167	$255 – $255
10	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$259	$259	—	—	131	$259 – $259
11	Aetna medicare managed care plan other · outpatient	$261	$261	—	—	129	$261 – $261
12	Medical Mutual medicare managed care plan other · outpatient	$261	$261	—	—	29	$261 – $261
13	Caresource medicare managed care plan other · outpatient	$432	$432	—	—	1–10	$432 – $432
14	Blue Cross Blue Shield pathway exchange other · outpatient	$721	$721	—	—	42	$721 – $721
15	Caresource exchange other · outpatient	$860	$860	—	—	1–10	$860 – $860
16	Medical Mutual exchange other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
17	Medical Mutual all commercial plans other · outpatient	$1.4k	$1.4k	—	—	94	$1.4k – $1.4k
18	Aetna all commercial plans other · outpatient	$1.4k	$1.4k	—	—	112	$1.4k – $1.4k
19	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$1.4k	$1.4k	—	—	454	$1.4k – $1.4k
20	Cigna great west other commercial plan other · outpatient	$1.4k	$1.4k	—	—	16	$1.4k – $1.4k
21	Cigna hmo other · outpatient	$1.5k	$1.5k	—	—	37	$1.5k – $1.5k
22	Blue Cross Blue Shield traditional other · outpatient	$1.6k	$1.6k	—	—	1–10	$1.6k – $1.6k
23	UnitedHealthcare all commercial plans other · outpatient	$1.7k	$1.7k	—	—	257	$1.7k – $1.7k
24	Cigna ppo other · outpatient	$1.7k	$1.7k	—	—	1–10	$1.7k – $1.7k

Last updated: Apr 1, 2026

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See Emergency department visit, level 3 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.