APC 5012

Clinic visit and related services at Swedish Edmonds

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

Clinic Visits and Related Services

Edmonds, WA

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Pricing by billing methodology

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How this price compares nationally

Swedish Edmonds’s median price of $148 is 6% above the median hospital's median price ($140), higher than 69% of the 709 hospitals reporting APC 5012. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5012 at Swedish Edmonds

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Kaiser all commercial plans other · outpatient	$0	$0	—	—	20	$0 – $0
2	Molina medicaid managed care plan other · outpatient	$115	$115	—	—	412	$115 – $115
3	UnitedHealthcare medicaid managed care plan other · outpatient	$123	$123	—	—	293	$123 – $123
4	Blue Cross Blue Shield regence all commercial plans other · outpatient	$125	$125	—	—	612	$125 – $125
5	Blue Cross Blue Shield uniform medical plan exchange other · outpatient	$125	$125	—	—	295	$125 – $125
6	Molina medicare managed care plan other · outpatient	$128	$128	—	—	60	$128 – $128
7	Blue Cross Blue Shield premera medicare managed care plan other · outpatient	$140	$140	—	—	23	$140 – $140
8	Aetna medicare managed care - hmo other · outpatient	$145	$145	—	—	42	$145 – $145
9	Aetna medicare managed care - ppo other · outpatient	$147	$147	—	—	264	$147 – $147
10	UnitedHealthcare medicare managed care plan other · outpatient	$151	$151	—	—	500	$151 – $151
11	Humana choice care medicare managed care plan other · outpatient	$155	$155	—	—	340	$155 – $155
12	Blue Cross Blue Shield regence medicare managed care plan other · outpatient	$156	$156	—	—	114	$156 – $156
13	Aetna whole health other commercial plan other · outpatient	$156	$156	—	—	1–10	$156 – $156
14	Aetna all commercial plans other · outpatient	$157	$157	—	—	304	$157 – $157
15	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$173	$173	—	—	1–10	$173 – $173
16	Cigna all commercial plans other · outpatient	$200	$200	—	—	99	$200 – $200
17	UnitedHealthcare all commercial plans other · outpatient	$226	$226	—	—	211	$226 – $226
18	Blue Cross Blue Shield premera all commercial plans other · outpatient	$328	$328	—	—	44	$328 – $328
19	UnitedHealthcare aco tiered/doctors plan other commercial plan other · outpatient	$363	$363	—	—	15	$363 – $363
20	Blue Cross Blue Shield premera heritage exchange other · outpatient	$501	$501	—	—	1–10	$501 – $501

Last updated: Apr 1, 2026

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