APC 5035

Level 5 emergency department visit at Texas Orthopedic 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 5 Type B ED Visits

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Texas Orthopedic Hospital’s median price of $417 is 1% below the median hospital's median price ($422), higher than 39% of the 219 hospitals reporting APC 5035. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5035 at Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 7 payers, 18 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	Oscar mgmcr fee schedule · outpatient	$404	$404	—	—	—	$404 – $404
2	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
3	Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
4	Cigna Healthspring mcrhmo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
5	Cigna Healthspring mcrppo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
6	Cigna Healthspring mcrsnp fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
7	Cigna Healthspring mmp fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
8	Cigna Healthspring pffs fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
9	Devoted mgmcr fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
10	Humana medicareadvantagehmo fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
11	Humana medicareadvantageppopffs fee schedule · outpatient	$413	$413	—	—	—	$413 – $413
12	Superior Healthplan dualeligible fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
13	Superior Healthplan mcrhmo fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
14	Superior Healthplan mcrpos fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
15	Superior Healthplan mcrppo fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
16	Superior Healthplan mcrsnp fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
17	Superior Healthplan pffs fee schedule · outpatient	$536	$536	—	—	—	$536 – $536
18	Molina hix fee schedule · outpatient	$904	$904	—	—	—	$904 – $904

Last updated: May 14, 2026

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See Level 5 emergency department visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.