APC 5022

Emergency department visit, level 2 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 2 Type A ED Visits

Monroe, WI

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Pricing by billing methodology

Price type

How this price compares nationally

Monroe Clinic, Inc.’s median price of $153 is 13% below the median hospital's median price ($175), higher than 14% of the 731 hospitals reporting APC 5022. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5022 at Monroe Clinic, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 17 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 anthem medicaid managed care plan other · outpatient	$77	$77	—	—	85	$77 – $77
2	UnitedHealthcare community care medicaid managed care plan other · outpatient	$77	$77	—	—	103	$77 – $77
3	Molina medicaid managed care plan other · outpatient	$102	$102	—	—	196	$102 – $102
4	Molina medicare managed care plan other · outpatient	$120	$120	—	—	1–10	$120 – $120
5	UnitedHealthcare medicare managed care plan other · outpatient	$136	$136	—	—	72	$136 – $136
6	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$151	$151	—	—	29	$151 – $151
7	Humana medicare managed care plan other · outpatient	$152	$152	—	—	31	$152 – $152
8	Aetna medicare managed care plan other · outpatient	$152	$152	—	—	38	$152 – $152
9	UnitedHealthcare optum vaccn government other · outpatient	$153	$153	—	—	13	$153 – $153
10	UnitedHealthcare all commercial plans other · outpatient	$498	$498	—	—	81	$498 – $498
11	Aetna all commercial plans other · outpatient	$505	$505	—	—	1–10	$505 – $505
12	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$568	$568	—	—	1–10	$568 – $568
13	Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient	$622	$622	—	—	97	$622 – $622
14	Blue Cross Blue Shield blue access ppo other · outpatient	$643	$643	—	—	176	$643 – $643
15	Blue Cross Blue Shield blue traditional traditional other · outpatient	$648	$648	—	—	1–10	$648 – $648
16	First Health other commercial plan percent of total billed charges · outpatientfrom % of charges	$694	$694	—	—	1–10	$694 – $694
17	MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges	$750	$750	—	—	1–10	$750 – $750

Last updated: Apr 1, 2026

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