APC 5721
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 1 Diagnostic Tests and Related Services
Low
$69
Average
$360
Median
$182
High
$4.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
544 hospitals; the 90th percentile is 5.4× 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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573 hospital rates
iThe hospitals that file a Aetna 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 Deland Deland, FL other · outpatient | 2 | $203 | $203 | $37 | 18% | 2–20 | $166 – $239 |
| 2 | AdventHealth Littleton Littleton, CO other · outpatient | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 3 | AdventHealth Orlando Winter Park, FL other · outpatient | 3 | $151 | $139 | $28 | 20% | 44–62 | $100 – $165 |
| 4 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $571 | $571 | — | — | 1–10 | $571 – $571 |
| 5 | Adventhealth Dade City Dade City, FL other · outpatient | 1 | $160 | $160 | — | — | 1–10 | $160 – $160 |
| 6 | Adventhealth Gordon Calhoun, GA other · outpatient | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 7 | Adventhealth Gordon Calhoun, GA percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 8 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 2 | $563 | $563 | $417 | 74% | 12–21 | $146 – $980 |
| 9 | Adventhealth Manchester Manchester, KY percent of total billed charges · outpatientfrom % of charges | 1 | $887 | $887 | — | — | 1–10 | $887 – $887 |
| 10 | Adventhealth Ottawa Ottawa, KS other · outpatient | 2 | $128 | $128 | $27 | 21% | 2–20 | $101 – $154 |
| 11 | Adventhealth Palm Coast Palm Coast, FL other · outpatient | 2 | $523 | $523 | $358 | 69% | 2–20 | $165 – $881 |
| 12 | Adventhealth Port Charlotte Port Charlotte, FL other · outpatient | 1 | $382 | $382 | — | — | 1–10 | $382 – $382 |
| 13 | Adventhealth Redmond Rome, GA other · outpatient | 1 | $123 | $123 | — | — | 1–10 | $123 – $123 |
| 14 | Adventhealth Sebring Sebring, FL other · outpatient | 2 | $407 | $407 | $245 | 60% | 2–20 | $161 – $652 |
| 15 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 2 | $206 | $206 | $61 | 30% | 40 | $145 – $267 |
| 16 | Adventhealth Tampa Brandon, FL other · outpatient | 3 | $162 | $150 | $37 | 24% | 25–43 | $100 – $188 |
| 17 | Adventhealth Waterman Tavares, FL other · outpatient | 2 | $120 | $120 | $45 | 38% | 2–20 | $75 – $165 |
| 18 | Adventhealth Zephyrhills Zephyrhills, FL other · outpatient | 2 | $151 | $151 | $11 | 7% | 2–20 | $140 – $162 |
| 19 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 20 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 21 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $126 | $214 | $570 | 267% | — | $126 – $3.9k |
| 22 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 23 | Allina Health Systems Ulm, MN facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 24 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 25 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $126 | $214 | $570 | 267% | — | $126 – $3.9k |
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