APC 5021

Emergency department visit, level 1 at Riverside 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

Columbus, OH

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Pricing by billing methodology

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How this price compares nationally

Riverside Methodist Hospital’s median price of $84 is 17% below the median hospital's median price ($101), higher than 10% 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 Riverside Methodist Hospital

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	Molina medicare managed care plan other · outpatient	$68	$68	—	—	1–10	$68 – $68
2	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$76	$76	—	—	1–10	$76 – $76
3	Blue Cross Blue Shield pathway exchange other · outpatient	$78	$78	—	—	1–10	$78 – $78
4	UnitedHealthcare medicaid managed care plan other · outpatient	$78	$78	—	—	1–10	$78 – $78
5	Molina medicaid managed care plan other · outpatient	$79	$79	—	—	1–10	$79 – $79
6	Aetna medicare managed care plan other · outpatient	$79	$79	—	—	1–10	$79 – $79
7	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$84	$84	—	—	1–10	$84 – $84
8	Humana medicare managed care plan other · outpatient	$84	$84	—	—	1–10	$84 – $84
9	UnitedHealthcare medicare managed care plan other · outpatient	$85	$85	—	—	1–10	$85 – $85
10	Humana medicaid managed care plan other · outpatient	$92	$92	—	—	1–10	$92 – $92
11	Caresource medicaid managed care plan other · outpatient	$92	$92	—	—	13	$92 – $92
12	Medical Mutual all commercial plans other · outpatient	$288	$288	—	—	1–10	$288 – $288
13	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$478	$478	—	—	1–10	$478 – $478
14	UnitedHealthcare all commercial plans other · outpatient	$481	$481	—	—	1–10	$481 – $481
15	UnitedHealthcare options other commercial plan other · outpatient	$483	$483	—	—	1–10	$483 – $483
16	Aetna all commercial plans other · outpatient	$549	$549	—	—	1–10	$549 – $549
17	Cigna hmo other · outpatient	$657	$657	—	—	1–10	$657 – $657

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.