APC 5021

Emergency department visit, level 1 at The 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

Houston, TX

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Pricing by billing methodology

Price type

How this price compares nationally

The Methodist Hospital’s median price of $89 is 12% below the median hospital's median price ($101), higher than 30% 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 The Methodist Hospital

Negotiated rates from the hospital’s own file: 9 payers, 23 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	UnitedHealthcare medicare managed care - hmo other · outpatient	$49	$49	—	—	59	$49 – $49
2	Molina medicaid managed care plan other · outpatient	$51	$51	—	—	66	$51 – $51
3	Molina advantage medicare managed care plan other · outpatient	$73	$73	—	—	1–10	$73 – $73
4	Molina medicare/medicaid managed care plan other · outpatient	$73	$73	—	—	1–10	$73 – $73
5	Oscar medicare managed care - hmo other · outpatient	$84	$84	—	—	1–10	$84 – $84
6	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$86	$86	—	—	18	$86 – $86
7	Aetna medicare managed care - hmo/ppo other · outpatient	$88	$88	—	—	128	$88 – $88
8	UnitedHealthcare medicare managed care - ppo other · outpatient	$88	$88	—	—	73	$88 – $88
9	Optum transplant medicare managed care plan other · outpatient	$88	$88	—	—	1–10	$88 – $88
10	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$88	$88	—	—	1–10	$88 – $88
11	Humana medicare managed care - ppo other · outpatient	$88	$88	—	—	24	$88 – $88
12	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$89	$89	—	—	21	$89 – $89
13	Devoted medicare managed care - hmo other · outpatient	$94	$94	—	—	1–10	$94 – $94
14	Molina exchange other · outpatient	$190	$190	—	—	1–10	$190 – $190
15	Aetna transplant other · outpatient	$354	$354	—	—	1–10	$354 – $354
16	Aetna hmo/pos/ppo other · outpatient	$379	$379	—	—	97	$379 – $379
17	Cigna all other benefit plans ppo other · outpatient	$516	$516	—	—	1–10	$516 – $516
18	Cigna local plus/surefit hmo/ppo other · outpatient	$610	$610	—	—	1–10	$610 – $610
19	Blue Cross Blue Shield all commercial plans other · outpatient	$620	$620	—	—	459	$620 – $620
20	Aetna new business discount other commercial plan other · outpatient	$644	$644	—	—	1–10	$644 – $644
21	Cigna network c-24 hmo/ppo other · outpatient	$653	$653	—	—	17	$653 – $653
22	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$653	$653	—	—	127	$653 – $653
23	UnitedHealthcare all commercial plans other · outpatient	$653	$653	—	—	143	$653 – $653

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.