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
$1.0k
Average
$1.7k
Median
$1.6k
High
$4.2k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 2.2× 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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30 hospital rates
iThe hospitals that file a Medical Mutual 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 | Atrium Medical Center Middletown, OH other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 2 | Atrium Medical Center Middletown, OH percent of total billed charges · outpatientfrom % of charges | 1 | $400 | $400 | — | — | 1–10 | $400 – $400 |
| 3 | Berger Hospital Circleville, OH other · outpatient | 3 | $2.0k | $1.8k | $827 | 45% | 3–30 | $738 – $2.7k |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 5 | Doctors Hospital Columbus, OH other · outpatient | 4 | $1.3k | $1.4k | $678 | 48% | 84–102 | $716 – $2.4k |
| 6 | Dublin Methodist Hospital Dublin, OH other · outpatient | 4 | $1.8k | $1.7k | $711 | 42% | 54–72 | $738 – $2.5k |
| 7 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $744 | $2.2k | $2.4k | 108% | — | $744 – $6.0k |
| 8 | Grady Memorial Hospital Delaware, OH other · outpatient | 3 | $738 | $1.1k | $456 | 43% | 14–32 | $719 – $1.7k |
| 9 | Grant Medical Center Columbus, OH other · outpatient | 3 | $881 | $1.1k | $403 | 37% | 138 | $738 – $1.7k |
| 10 | Grove City Methodist Grove City, OH other · outpatient | 4 | $1.3k | $1.4k | $678 | 48% | 84–102 | $716 – $2.4k |
| 11 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 12 | Marion General Hospital Marion, OH other · outpatient | 3 | $880 | $1.1k | $761 | 69% | 13–31 | $295 – $2.1k |
| 13 | Mary Rutan Hospital Bellefontaine, OH other · outpatient | 1 | $790 | $790 | — | — | 1–10 | $790 – $790 |
| 14 | Mary Rutan Hospital Bellefontaine, OH percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 15 | Metrohealth System Parma, OH facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 1,304 | $1.2k – $1.2k |
| 16 | Miami Valley Hospital Jamestown, OH other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 17 | Miami Valley Hospital Jamestown, OH percent of total billed charges · outpatientfrom % of charges | 2 | $1.4k | $1.4k | $51 | 4% | 2–20 | $1.3k – $1.4k |
| 18 | Ohiohealth Mansfield Hospital Mansfield, OH other · outpatient | 3 | $1.5k | $3.5k | $3.3k | 96% | 67–76 | $738 – $8.2k |
| 19 | Ohiohealth O'bleness Hospital Athens, OH other · outpatient | 3 | $1.7k | $1.6k | $649 | 40% | 32–50 | $791 – $2.4k |
| 20 | Ohiohealth Shelby Hospital Shelby, OH other · outpatient | 3 | $1.4k | $1.2k | $390 | 33% | 3–30 | $624 – $1.5k |
| 21 | Parkview Bryan Hospital Montpelier, OH facility · other · outpatient | 1 | $4.2k | $4.2k | — | — | 1–10 | $4.2k – $4.2k |
| 22 | Pickerington Methodist Hospital Pickerington, OH other · outpatient | 4 | $1.3k | $1.4k | $678 | 48% | 84–102 | $716 – $2.4k |
| 23 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $1.6k | $1.6k | $695 | 45% | 88–106 | $831 – $2.3k |
| 24 | Salem Regional Medical Center Salem, OH other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 25 | Summa Health System Wadsworth, OH other · outpatient | 4 | $2.2k | $2.1k | $916 | 44% | 261–270 | $737 – $3.2k |
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