APC 5022

Emergency department visit, level 2 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 2 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 $258 is 47% above the median hospital's median price ($175), higher than 74% of the 731 hospitals reporting APC 5022. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5022 at The Methodist Hospital

Negotiated rates from the hospital’s own file: 11 payers, 26 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 medicaid managed care plan other · outpatient	$51	$51	—	—	49	$51 – $51
2	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$134	$134	—	—	96	$134 – $134
3	UnitedHealthcare medicare managed care - hmo other · outpatient	$139	$139	—	—	195	$139 – $139
4	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$155	$155	—	—	87	$155 – $155
5	Humana medicare managed care - ppo other · outpatient	$158	$158	—	—	130	$158 – $158
6	UnitedHealthcare medicare managed care - ppo other · outpatient	$158	$158	—	—	321	$158 – $158
7	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$158	$158	—	—	1–10	$158 – $158
8	Aetna medicare managed care - hmo/ppo other · outpatient	$159	$159	—	—	230	$159 – $159
9	Devoted medicare managed care - hmo other · outpatient	$166	$166	—	—	35	$166 – $166
10	Molina advantage medicare managed care plan other · outpatient	$182	$182	—	—	1–10	$182 – $182
11	Humana choicecare ppo other · outpatient	$201	$201	—	—	1–10	$201 – $201
12	Molina medicare/medicaid managed care plan other · outpatient	$203	$203	—	—	1–10	$203 – $203
13	Molina exchange other · outpatient	$257	$257	—	—	1–10	$257 – $257
14	MultiPlan ppo other · outpatient	$300	$300	—	—	1–10	$300 – $300
15	Aetna new business discount other commercial plan other · outpatient	$639	$639	—	—	1–10	$639 – $639
16	Cigna local plus/surefit hmo/ppo other · outpatient	$657	$657	—	—	15	$657 – $657
17	First Health first health/coventry ppo other · outpatient	$694	$694	—	—	1–10	$694 – $694
18	Phcs ppo other · outpatient	$764	$764	—	—	1–10	$764 – $764
19	Cigna network c-24 hmo/ppo other · outpatient	$821	$821	—	—	60	$821 – $821
20	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$821	$821	—	—	503	$821 – $821
21	Cigna all other benefit plans ppo other · outpatient	$856	$856	—	—	30	$856 – $856
22	Aetna hmo/pos/ppo other · outpatient	$947	$947	—	—	305	$947 – $947
23	Blue Cross Blue Shield all commercial plans other · outpatient	$1.0k	$1.0k	—	—	1,378	$1.0k – $1.0k
24	UnitedHealthcare all commercial plans other · outpatient	$1.2k	$1.2k	—	—	439	$1.2k – $1.2k
25	Cigna lifesource transplant other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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See Emergency department visit, level 2 pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.