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
$30
Average
$4.6k
Median
$2.9k
High
$21.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 8.1× 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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23 hospital rates
iThe hospitals that file a First Health 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 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 2 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 3 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $6.7k | $6.7k | — | — | 1–10 | $6.7k – $6.7k |
| 4 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 5 | Dublin Methodist Hospital Dublin, OH other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 6 | Grant Medical Center Columbus, OH other · outpatient | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 7 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $21.1k | $21.1k | — | — | 1–10 | $21.1k – $21.1k |
| 8 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 9 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 10 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 11 | Legacy Mount Hood Medical Center Gresham, OR other · outpatient | 1 | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
| 12 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $16.9k | $16.9k | — | — | 1–10 | $16.9k – $16.9k |
| 13 | Methodist West Houston Hospital Houston, TX other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 14 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 15 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 16 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 17 | Parkview Ortho Hospital Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 18 | Parkview Regional Medical Center Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 19 | Parrish Medical Center TITUSVILLE, FL facility · fee schedule · outpatient | 1 | $806 | $806 | — | — | — | $806 – $806 |
| 20 | Providence Health & Services - Montana Missoula, MT percent of total billed charges · outpatientfrom % of charges | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 21 | Saint Francis Hospital South Glenpool, OK other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 22 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 23 | University Medical Center Lubbock, TX other · outpatient | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
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