APC 5571
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 Imaging with Contrast
Low
$25
Average
$3.3k
Median
$2.8k
High
$11.6k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
62 hospitals; the 90th percentile is 15.3× 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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62 hospital rates
iThe hospitals that file a MultiPlan 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 | Agnesian Healthcare Inc. Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 2 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 2 | $6.6k | $6.6k | $192 | 3% | 2–20 | $6.4k – $6.8k |
| 3 | Aspirus Eagle River Hospital Eagle River, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 4 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | 1–10 | $72 – $72 |
| 5 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $959 | $959 | — | — | 1–10 | $959 – $959 |
| 6 | Aspirus Merrill Hospital Merrill, WI percent of total billed charges · outpatientfrom % of charges | 2 | $3.1k | $3.1k | $114 | 4% | 2–20 | $3.0k – $3.2k |
| 7 | Aspirus Plover Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $7.7k | $7.7k | — | — | 1–10 | $7.7k – $7.7k |
| 8 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4.4k | $4.4k | $1.1k | 25% | 2–20 | $3.3k – $5.5k |
| 9 | Aspirus St. Luke’s Hospital Duluth, MN percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 10 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $7.8k | $7.8k | — | — | 1–10 | $7.8k – $7.8k |
| 11 | Aspirus Tomahawk Hospital Tomahawk, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 12 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $1.4k | 30% | 13–22 | $3.2k – $6.0k |
| 13 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 4 | $4.5k | $5.5k | $2.4k | 43% | 4–40 | $3.4k – $9.5k |
| 14 | Beth Israel Deaconess Medical Center Boston, MA other · outpatient | 1 | $199 | $199 | — | — | 1–10 | $199 – $199 |
| 15 | Covenant Hospital Hobbs Hobbs, NM percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 16 | Howard Young Medical Center Woodruff, WI percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 17 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 18 | Marietta Memorial Hospital Belpre, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $882 | $882 | — | — | 1–10 | $882 – $882 |
| 19 | Mission Hospital Regional Med Center Laguna Beach, CA other · outpatient | 1 | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 20 | Monroe Clinic, Inc. Monroe, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 21 | Newport Hospital Newport, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $777 | $777 | — | — | 1–10 | $777 – $777 |
| 22 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 23 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 24 | OSF Healthcare System Evergreen Park, IL percent of total billed charges · outpatientfrom % of charges | 1 | $25 | $25 | — | — | 1–10 | $25 – $25 |
| 25 | OSF Healthcare System Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
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