APC 5031

Level 1 emergency department visit, type B at McLeod Health

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 1 Type B ED Visits

River, SC

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Pricing by billing methodology

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How this price compares nationally

McLeod Health’s median price of $81 is 3% above the median hospital's median price ($78), higher than 65% of the 218 hospitals reporting APC 5031. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5031 at McLeod Health

Negotiated rates from the hospital’s own file: 10 payers, 10 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	Tricare dha case rate · outpatient	$73	$73	—	—	—	$73 – $73
2	Blue Cross Blue Shield medicare advantage case rate · outpatient	$77	$77	—	—	—	$77 – $77
3	Medicare medicare case rate · outpatient	$77	$77	—	—	—	$77 – $77
4	UnitedHealthcare medicare advantage case rate · outpatient	$78	$78	—	—	—	$78 – $78
5	Aetna medicare advantage case rate · outpatient	$78	$78	—	—	—	$78 – $78
6	Clover medicare advantage case rate · outpatient	$80	$80	—	—	—	$80 – $80
7	Humana medicare advantage case rate · outpatient	$80	$80	—	—	—	$80 – $80
8	WellCare medicare advantage case rate · outpatient	$82	$82	—	—	—	$82 – $82
9	Molina medicare advantage case rate · outpatient	$82	$104	$32	31%	—	$82 – $149
10	Ambetter medicare advantage case rate · outpatient	$138	$138	—	—	—	$138 – $138

Last updated: Jul 20, 2026

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See Level 1 emergency department visit, type B pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.