APC 5021
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.
Original text from hospital filings
Level 1 Type A ED Visits
Grosse Pointe, MI
Negotiated rates from the hospital’s own file: 6 payers, 13 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 | Aetna better health medicaid managed care plan facility · other · outpatient | $47 | $47 | — | — | 38 | $47 – $47 |
| 2 | Blue Cross Blue Shield complete medicaid managed care plan facility · other · outpatient | $47 | $47 | — | — | 191 | $47 – $47 |
| 3 | Molina medicaid managed care plan facility · other · outpatient | $47 | $47 | — | — | 185 | $47 – $47 |
| 4 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $47 | $47 | — | — | 152 | $47 – $47 |
| 5 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $47 | $47 | — | — | 22 | $47 – $47 |
| 6 | Humana medicare managed care plan facility · other · outpatient | $64 | $64 | — | — | 27 | $64 – $64 |
| 7 | Molina medicare managed care plan facility · other · outpatient | $68 | $68 | — | — | 1–10 | $68 – $68 |
| 8 | WellCare meridian medicare managed care plan facility · other · outpatient | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 9 | Aetna medicare managed care plan facility · other · outpatient | $85 | $85 | — | — | 52 | $85 – $85 |
| 10 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $85 | $85 | — | — | 58 | $85 – $85 |
| 11 | Blue Cross Blue Shield exchange facility · other · outpatient | $99 | $99 | — | — | 11 | $99 – $99 |
| 12 | Blue Cross Blue Shield all commercial plans facility · other · outpatient | $105 | $105 | — | — | 345 | $105 – $105 |
| 13 | Aetna all commercial plans facility · other · outpatient | $176 | $176 | — | — | 11 | $176 – $176 |