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
$47
Average
$3.2k
Median
$3.6k
High
$10.3k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
26 hospitals; the 90th percentile is 6.2× 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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26 hospital rates
iThe hospitals that file a MultiPlan 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 Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
| 2 | Aspirus Eagle River Hospital Eagle River, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 3 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $292 | 6% | 2–20 | $4.3k – $4.9k |
| 4 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.6k | $4.6k | — | — | 1–10 | $4.6k – $4.6k |
| 5 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4.2k | $4.2k | $421 | 10% | 2–20 | $3.7k – $4.6k |
| 6 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 2 | $4.6k | $4.6k | $23 | 0% | 2–20 | $4.6k – $4.6k |
| 7 | Beth Israel Deaconess Medical Center Boston, MA other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 8 | Honorhealth John C. Lincoln Medical Center Phoenix, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 9 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 10 | NGMC Barrow, LLC Winder, GA other · outpatient | 1 | $10.3k | $10.3k | — | — | 1–10 | $10.3k – $10.3k |
| 11 | Northeast Georgia Medical Center Habersham, LLC Demorest, GA other · outpatient | 1 | $810 | $810 | — | — | 1–10 | $810 – $810 |
| 12 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 1 | $4.2k | $4.2k | — | — | 18 | $4.2k – $4.2k |
| 13 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 1 | $4.2k | $4.2k | — | — | 18 | $4.2k – $4.2k |
| 14 | Oklahoma State University Medical Center Tulsa, OK facility · other · outpatient | 1 | $6.1k | $6.1k | — | — | 1–10 | $6.1k – $6.1k |
| 15 | Providence Health System - Southern California Torrance, CA other · outpatient | 1 | $47 | $47 | — | — | 1–10 | $47 – $47 |
| 16 | Ripon Medical Center, Inc. Ripon, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 17 | SSM Health Care of Wisconsin, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | 1–10 | $5.8k – $5.8k |
| 18 | SSM Health Care of Wisconsin, Inc Baraboo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 19 | Saint Francis Hospital South Glenpool, OK other · outpatient | 1 | $1k | $1k | — | — | 1–10 | $1k – $1k |
| 20 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 21 | Sentara Martha Jefferson Hospital Charlottesville, VA facility · other · outpatient | 1 | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 22 | Stanford Health Care Stanford, CA other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 23 | The Methodist Hospital Houston, TX other · outpatient | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 24 | The Miriam Hospital Providence, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $883 | $883 | — | — | 1–10 | $883 – $883 |
| 25 | Thibodaux Regional Medical Center Thibodaux, LA percent of total billed charges · outpatientfrom % of charges | 1 | $870 | $870 | — | — | 1–10 | $870 – $870 |
← Payers reporting APC 5573 · Snapshot 20261111T120946Z-9134e7f7