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
$142
Average
$1.2k
Median
$848
High
$3.3k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 2.3× 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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12 hospital rates
iThe hospitals that file a Medica 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 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $840 | $840 | — | — | — | $840 – $840 |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $831 | $831 | — | — | — | $831 – $831 |
| 4 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $840 | $840 | — | — | — | $840 – $840 |
| 5 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $848 | $848 | — | — | — | $848 – $848 |
| 6 | Altru Hospital Grand Forks, ND facility · other · outpatient | 3 | $1.2k | $1.2k | $341 | 28% | 36–45 | $830 – $1.7k |
| 7 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 3 | $1.2k | $1.2k | $341 | 28% | 36–45 | $830 – $1.7k |
| 8 | Aspirus St. Luke’s Hospital Duluth, MN other · outpatient | 3 | $1.2k | $1.4k | $359 | 25% | 23–41 | $1.1k – $2.0k |
| 9 | SSM Health Care of Oklahoma, Inc Midwest City, OK other · outpatient | 1 | $142 | $142 | — | — | 1–10 | $142 – $142 |
| 10 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK other · outpatient | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 11 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 1 | $756 | $756 | — | — | 1–10 | $756 – $756 |
| 12 | Winona Health Services Winona, MN facility · other · outpatient | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
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