APC 5023

Emergency department visit, level 3 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 3 Type A ED Visits

Columbus, OH

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Pricing by billing methodology

Price type

How this price compares nationally

Riverside Methodist Hospital’s median price of $264 is 17% below the median hospital's median price ($316), higher than 7% 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 Riverside Methodist Hospital

Negotiated rates from the hospital’s own file: 10 payers, 29 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	$164	$164	—	—	269	$164 – $164
2	UnitedHealthcare medicaid managed care plan other · outpatient	$165	$165	—	—	267	$165 – $165
3	Humana medicaid managed care plan other · outpatient	$167	$167	—	—	280	$167 – $167
4	Molina medicaid managed care plan other · outpatient	$167	$167	—	—	442	$167 – $167
5	Caresource medicaid managed care plan other · outpatient	$192	$192	—	—	1,169	$192 – $192
6	Caresource medicare managed care plan other · outpatient	$213	$213	—	—	1–10	$213 – $213
7	Molina medicare managed care plan other · outpatient	$215	$215	—	—	63	$215 – $215
8	Aetna medicaid managed care plan other · outpatient	$224	$224	—	—	1–10	$224 – $224
9	UnitedHealthcare medicare managed care plan other · outpatient	$258	$258	—	—	211	$258 – $258
10	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$259	$259	—	—	189	$259 – $259
11	Humana medicare managed care plan other · outpatient	$259	$259	—	—	232	$259 – $259
12	Medical Mutual medicare managed care plan other · outpatient	$259	$259	—	—	22	$259 – $259
13	Aetna medicare managed care plan other · outpatient	$260	$260	—	—	294	$260 – $260
14	Devoted medicare managed care plan other · outpatient	$264	$264	—	—	20	$264 – $264
15	First Health first health all commercial plans other · outpatient	$350	$350	—	—	1–10	$350 – $350
16	Blue Cross Blue Shield pathway exchange other · outpatient	$578	$578	—	—	91	$578 – $578
17	Caresource exchange other · outpatient	$762	$762	—	—	12	$762 – $762
18	Medical Mutual exchange other · outpatient	$768	$768	—	—	21	$768 – $768
19	Cigna ppo other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
20	Cigna hmo other · outpatient	$1.4k	$1.4k	—	—	137	$1.4k – $1.4k
21	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$1.4k	$1.4k	—	—	745	$1.4k – $1.4k
22	Aetna all commercial plans other · outpatient	$1.4k	$1.4k	—	—	287	$1.4k – $1.4k
23	Medical Mutual all commercial plans other · outpatient	$1.5k	$1.5k	—	—	224	$1.5k – $1.5k
24	Aetna meritain/asa other commercial plan other · outpatient	$1.5k	$1.5k	—	—	44	$1.5k – $1.5k
25	Blue Cross Blue Shield anthem traditional other · outpatient	$1.6k	$1.6k	—	—	1–10	$1.6k – $1.6k

Page 1 of 2 · 29 rates

Last updated: Apr 1, 2026

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