APC 5573
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 3 Imaging with Contrast
Low
$8
Average
$1.6k
Median
$979
High
$11.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
537 hospitals; the 90th percentile is 4.3× 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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559 hospital rates
iThe hospitals that file a Aetna 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 | AdventHealth Littleton Littleton, CO other · outpatient | 1 | $781 | $781 | — | — | 1–10 | $781 – $781 |
| 2 | AdventHealth Orlando Winter Park, FL other · outpatient | 2 | $2.1k | $2.1k | $1.3k | 61% | 2–20 | $833 – $3.4k |
| 3 | AdventHealth Parker Aurora, CO other · outpatient | 2 | $1.3k | $1.3k | $506 | 39% | 2–20 | $779 – $1.8k |
| 4 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 13 | $1.1k – $1.1k |
| 5 | Adventhealth Carrollwood Tampa, FL other · outpatient | 2 | $2.5k | $2.5k | $910 | 37% | 2–20 | $1.5k – $3.4k |
| 6 | Adventhealth Gordon Calhoun, GA other · outpatient | 1 | $782 | $782 | — | — | 1–10 | $782 – $782 |
| 7 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 2 | $1.2k | $1.2k | $502 | 41% | 2–20 | $728 – $1.7k |
| 8 | Adventhealth Ocala Ocala, FL other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 9 | Adventhealth Palm Coast Parkway Palm Coast, FL other · outpatient | 2 | $1.8k | $1.8k | $247 | 14% | 2–20 | $1.6k – $2.1k |
| 10 | Adventhealth Redmond Rome, GA other · outpatient | 1 | $779 | $779 | — | — | 1–10 | $779 – $779 |
| 11 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 1 | $729 | $729 | — | — | 13 | $729 – $729 |
| 12 | Adventhealth South Overland Park Overland Park, KS other · outpatient | 1 | $729 | $729 | — | — | 1–10 | $729 – $729 |
| 13 | Adventhealth Tampa Brandon, FL other · outpatient | 1 | $810 | $810 | — | — | 1–10 | $810 – $810 |
| 14 | Adventhealth Waterman Tavares, FL other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 15 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $727 | $727 | — | — | — | $727 – $727 |
| 16 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 17 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 18 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 19 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 20 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 21 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $768 | $768 | — | — | — | $768 – $768 |
| 22 | Altru Hospital Grand Forks, ND facility · other · outpatient | 2 | $1.2k | $1.2k | $385 | 32% | 2–20 | $829 – $1.6k |
| 23 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 2 | $1.2k | $1.2k | $385 | 32% | 2–20 | $829 – $1.6k |
| 24 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.9k | $3.2k | $2.0k | 62% | — | $827 – $4.9k |
| 25 | Aspirus Divine Savior Hospital Portage, WI other · outpatient | 1 | $760 | $760 | — | — | 1–10 | $760 – $760 |
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