APC 5021

Emergency department visit, level 1 at Monroe Clinic, Inc.

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

Monroe, WI

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Pricing by billing methodology

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How this price compares nationally

Monroe Clinic, Inc.’s median price of $110 is 9% above the median hospital's median price ($101), higher than 55% 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 Monroe Clinic, Inc.

Negotiated rates from the hospital’s own file: 6 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	UnitedHealthcare medicare managed care plan other · outpatient	$47	$47	—	—	1–10	$47 – $47
2	Humana medicare managed care plan other · outpatient	$47	$47	—	—	1–10	$47 – $47
3	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$77	$77	—	—	1–10	$77 – $77
4	UnitedHealthcare optum vaccn government other · outpatient	$85	$85	—	—	1–10	$85 – $85
5	UnitedHealthcare community care medicaid managed care plan other · outpatient	$94	$94	—	—	1–10	$94 – $94
6	Molina medicaid managed care plan other · outpatient	$98	$98	—	—	1–10	$98 – $98
7	UnitedHealthcare all commercial plans other · outpatient	$347	$347	—	—	1–10	$347 – $347
8	MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges	$362	$362	—	—	1–10	$362 – $362
9	Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient	$396	$396	—	—	1–10	$396 – $396
10	Blue Cross Blue Shield blue access ppo other · outpatient	$469	$469	—	—	1–10	$469 – $469
11	Aetna medicare managed care plan other · outpatient	$510	$510	—	—	1–10	$510 – $510

Last updated: Apr 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.