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
$120
Average
$2.0k
Median
$1.3k
High
$33.0k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
525 hospitals; the 90th percentile is 5.1× 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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563 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 | AdventHealth Castle Rock Castle Rock, CO other · outpatient | 1 | $1000 | $1000 | — | — | 1–10 | $1000 – $1000 |
| 2 | AdventHealth Littleton Littleton, CO other · outpatient | 2 | $1.3k | $1.3k | $485 | 38% | 2–20 | $789 – $1.8k |
| 3 | AdventHealth Orlando Winter Park, FL other · outpatient | 3 | $3.3k | $2.7k | $1.4k | 51% | 3–30 | $817 – $4.1k |
| 4 | AdventHealth Parker Aurora, CO other · outpatient | 1 | $789 | $789 | — | — | 1–10 | $789 – $789 |
| 5 | AdventHealth Polk Columbus, NC other · outpatient | 2 | $1.7k | $1.7k | $1.3k | 74% | 2–20 | $460 – $3.0k |
| 6 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 12 | $1.2k – $1.2k |
| 7 | AdventHealth Porter Denver, CO other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 8 | Adventhealth Daytona Beach Port Orange, FL other · outpatient | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 9 | Adventhealth Gordon Calhoun, GA other · outpatient | 2 | $1.8k | $1.8k | $1.0k | 57% | 2–20 | $763 – $2.8k |
| 10 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 2 | $3.2k | $3.2k | $1.7k | 53% | 2–20 | $1.5k – $4.8k |
| 11 | Adventhealth Murray Chatsworth, GA other · outpatient | 1 | $711 | $711 | — | — | 1–10 | $711 – $711 |
| 12 | Adventhealth Ottawa Ottawa, KS other · outpatient | 2 | $1.4k | $1.4k | $449 | 33% | 2–20 | $903 – $1.8k |
| 13 | Adventhealth Palm Coast Palm Coast, FL other · outpatient | 1 | $5.1k | $5.1k | — | — | 1–10 | $5.1k – $5.1k |
| 14 | Adventhealth Palm Coast Parkway Palm Coast, FL other · outpatient | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 15 | Adventhealth Redmond Rome, GA other · outpatient | 1 | $786 | $786 | — | — | 1–10 | $786 – $786 |
| 16 | Adventhealth South Overland Park Overland Park, KS other · outpatient | 2 | $1.4k | $1.4k | $651 | 47% | 13–22 | $728 – $2.0k |
| 17 | Adventhealth Waterman Tavares, FL other · outpatient | 2 | $2.2k | $2.2k | $756 | 34% | 2–20 | $1.5k – $3.0k |
| 18 | Adventhealth Wesley Chapel Lutz, FL other · outpatient | 1 | $817 | $817 | — | — | 1–10 | $817 – $817 |
| 19 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 4 | $1.6k | $1.7k | $1.3k | 75% | 81–90 | $194 – $3.4k |
| 20 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 21 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 22 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 23 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 24 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 25 | Altru Hospital Grand Forks, ND facility · other · outpatient | 3 | $863 | $913 | $416 | 46% | 296–314 | $386 – $1.5k |
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