APC 5023

Emergency department visit, level 3 at OHI West, 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 3 Type A ED Visits

Saint Petersburg, FL

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Pricing by billing methodology

Price type

How this price compares nationally

OHI West, Inc.’s median price of $584 is 85% above the median hospital's median price ($316), higher than 81% of the 732 hospitals reporting APC 5023. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5023 at OHI West, Inc.

Negotiated rates from the hospital’s own file: 14 payers, 34 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	Aetna better health - healthy kids medicaid managed care plan other · outpatient	$115	$115	—	—	23	$115 – $115
2	Molina medicaid managed care plan other · outpatient	$127	$127	—	—	55	$127 – $127
3	UnitedHealthcare medicaid managed care plan other · outpatient	$128	$128	—	—	16	$128 – $128
4	Humana medicaid managed care plan other · outpatient	$132	$132	—	—	427	$132 – $132
5	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$133	$133	—	—	1–10	$133 – $133
6	Aetna better health medicaid managed care plan other · outpatient	$135	$135	—	—	1–10	$135 – $135
7	WellCare medicare managed care - hmo other · outpatient	$246	$246	—	—	44	$246 – $246
8	UnitedHealthcare medicare managed care plan other · outpatient	$257	$257	—	—	648	$257 – $257
9	Humana medicare managed care - hmo/ppo other · outpatient	$272	$272	—	—	460	$272 – $272
10	Blue Cross Blue Shield florida blue medicare managed care plan other · outpatient	$273	$273	—	—	58	$273 – $273
11	Aetna medicare managed care plan other · outpatient	$275	$275	—	—	218	$275 – $275
12	Optum orlando va government other · outpatient	$278	$278	—	—	97	$278 – $278
13	Devoted medicare managed care plan other · outpatient	$292	$292	—	—	53	$292 – $292
14	Ambetter sunshine exchange other · outpatient	$396	$396	—	—	2,221	$396 – $396
15	Aetna qhp exchange other · outpatient	$491	$491	—	—	84	$491 – $491
16	Oscar all commercial plans other · outpatient	$518	$518	—	—	81	$518 – $518
17	Aetna public & labor other commercial plan other · outpatient	$649	$649	—	—	1–10	$649 – $649
18	Blue Cross Blue Shield my blue exchange other · outpatient	$685	$685	—	—	742	$685 – $685
19	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$760	$760	—	—	1–10	$760 – $760
20	UnitedHealthcare neighborhood health partnership other commercial plan other · outpatient	$1.2k	$1.2k	—	—	34	$1.2k – $1.2k
21	Aetna hmo/ppo other · outpatient	$1.3k	$1.3k	—	—	379	$1.3k – $1.3k
22	Cigna all commercial plans other · outpatient	$1.3k	$1.3k	—	—	455	$1.3k – $1.3k
23	Molina exchange other · outpatient	$1.6k	$1.6k	—	—	1–10	$1.6k – $1.6k
24	Blue Cross Blue Shield blue select exchange other · outpatient	$1.6k	$1.6k	—	—	112	$1.6k – $1.6k
25	Phcs all commercial plans percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	1–10	$1.9k – $1.9k

Page 1 of 2 · 34 rates

Last updated: Apr 1, 2026

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