APC 05023

Emergency department visit, level 3 at Hsa Pgh Llc

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

ER LEVEL 3

Hialeah, FL

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Pricing by billing methodology

Price type

How this price compares nationally

Hsa Pgh Llc’s median price of $289 is 5% above the median hospital's median price ($274), higher than 88% of the 167 hospitals reporting APC 05023. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 05023 at Hsa Pgh Llc

Negotiated rates from the hospital’s own file: 9 payers, 16 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	Humana humana medicare hmo facility · fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
2	Humana humana medicare ppo facility · fee schedule · outpatient	$275	$275	—	—	—	$275 – $275
3	Medicare medicare facility · fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
4	WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient	$281	$281	—	—	—	$281 – $281
5	Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
6	Devoted devoted health facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
7	UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient	$285	$285	—	—	—	$285 – $285
8	Molina molina medicare advantage program facility · fee schedule · outpatient	$291	$291	—	—	—	$291 – $291
9	Cigna cigna healthsprings facility · fee schedule · outpatient	$294	$294	—	—	—	$294 – $294
10	Molina molina marketplace program exchange facility · fee schedule · outpatient	$387	$387	—	—	—	$387 – $387
11	Ambetter ambetter by sunshine hix facility · fee schedule · outpatient	$527	$527	—	—	—	$527 – $527
12	Amerihealth Caritas amerihealth caritas next exchange facility · fee schedule · outpatient	$613	$613	—	—	—	$613 – $613
13	Cigna cigna individual family facility · fee schedule · outpatient	$792	$792	—	—	—	$792 – $792
14	Cigna cigna surefit facility · fee schedule · outpatient	$952	$952	—	—	—	$952 – $952
15	Cigna cigna commercial facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Cigna cigna localplus benefit facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Sep 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.