APC 5025

Emergency department visit, level 5 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 5 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 $1.1k is 3% below the median hospital's median price ($1.1k), higher than 47% of the 735 hospitals reporting APC 5025. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5025 at Berger Hospital

Negotiated rates from the hospital’s own file: 9 payers, 25 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 medicaid managed care plan other · outpatient	$649	$649	—	—	75	$649 – $649
2	Molina medicaid managed care plan other · outpatient	$650	$650	—	—	238	$650 – $650
3	Humana medicaid managed care plan other · outpatient	$694	$694	—	—	52	$694 – $694
4	Caresource medicaid managed care plan other · outpatient	$695	$695	—	—	388	$695 – $695
5	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$795	$795	—	—	50	$795 – $795
6	Molina medicare managed care plan other · outpatient	$851	$851	—	—	60	$851 – $851
7	Humana medicare managed care plan other · outpatient	$878	$878	—	—	180	$878 – $878
8	Aetna medicaid managed care plan other · outpatient	$916	$916	—	—	1–10	$916 – $916
9	Devoted medicare managed care plan other · outpatient	$918	$918	—	—	23	$918 – $918
10	UnitedHealthcare medicare managed care plan other · outpatient	$983	$983	—	—	216	$983 – $983
11	Aetna medicare managed care plan other · outpatient	$995	$995	—	—	211	$995 – $995
12	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$996	$996	—	—	251	$996 – $996
13	Medical Mutual medicare managed care plan other · outpatient	$1.2k	$1.2k	—	—	60	$1.2k – $1.2k
14	Caresource medicare managed care plan other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
15	Blue Cross Blue Shield pathway exchange other · outpatient	$3.0k	$3.0k	—	—	31	$3.0k – $3.0k
16	UnitedHealthcare all commercial plans other · outpatient	$4.3k	$4.3k	—	—	224	$4.3k – $4.3k
17	Cigna great west other commercial plan other · outpatient	$4.8k	$4.8k	—	—	14	$4.8k – $4.8k
18	Medical Mutual all commercial plans other · outpatient	$4.8k	$4.8k	—	—	76	$4.8k – $4.8k
19	Aetna all commercial plans other · outpatient	$5.6k	$5.6k	—	—	88	$5.6k – $5.6k
20	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$5.6k	$5.6k	—	—	341	$5.6k – $5.6k
21	Cigna hmo other · outpatient	$5.9k	$5.9k	—	—	19	$5.9k – $5.9k
22	Medical Mutual exchange other · outpatient	$6.4k	$6.4k	—	—	1–10	$6.4k – $6.4k
23	Cigna ppo other · outpatient	$7.8k	$7.8k	—	—	1–10	$7.8k – $7.8k
24	Caresource exchange other · outpatient	$8.1k	$8.1k	—	—	1–10	$8.1k – $8.1k
25	Blue Cross Blue Shield traditional other · outpatient	$11.5k	$11.5k	—	—	1–10	$11.5k – $11.5k

Last updated: Apr 1, 2026

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