APC 5021

Emergency department visit, level 1 at Methodist 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 1 Type A ED Visits

SAN ANTONIO, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Hospital’s median price of $85 is 16% below the median hospital's median price ($101), higher than 13% of the 722 hospitals reporting APC 5021. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5021 at Methodist Hospital

Negotiated rates from the hospital’s own file: 4 payers, 11 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	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
2	Blue Cross Blue Shield mgmcrpos fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
3	Blue Cross Blue Shield mgmcrppo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
4	Devoted dualeligible fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
5	Devoted mcrhmo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
6	Devoted mcrpffs fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
7	Devoted mcrpos fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
8	Devoted mcrppo fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
9	Devoted mcrsnp fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
10	Aetna mcr fee schedule · outpatient	$86	$86	—	—	—	$86 – $86
11	Optum comm fee schedule · outpatient	$212	$212	—	—	—	$212 – $212

Last updated: May 1, 2026

Compare to other hospitals

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