APC 05611
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
HC SPECIAL DOSIMETRY
Low
$77
Average
$161
Median
$133
High
$414
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 1.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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19 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Emma L Bixby Medical Center Adrian, MI facility · other · outpatient | 1 | $77 | $77 | — | — | 4–40 | $77 – $77 |
| 2 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 3 | Allina Health Systems Faribualt, MN facility · fee schedule · outpatient | 1 | $145 | $145 | — | — | — | $145 – $145 |
| 4 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 5 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 6 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 7 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 3 | $483 | $408 | $171 | 42% | — | $172 – $569 |
| 8 | LEE'S SUMMIT MEDICAL CENTER Lee's Summit, MO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 9 | MENORAH MEDICAL CENTER Overland Park, KS fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 10 | MINDEN MEDICAL CENTER MINDEN, LA fee schedule · both | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 11 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 12 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 13 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 14 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 15 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 16 | OVERLAND PARK REGIONAL MEDICAL CENTER OLATHE, KS fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
| 17 | Orange County Global Medical Center Santa Ana, CA facility · fee schedule · outpatient | 1 | $655 | $655 | — | — | — | $655 – $655 |
| 18 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | — | — | — | $172 – $172 |
| 19 | RESEARCH MEDICAL CENTER KANSAS CITY, MO fee schedule · outpatient | 1 | $129 | $129 | — | — | — | $129 – $129 |
← Payers reporting APC 05611 · Snapshot 20261111T120946Z-9134e7f7