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
$73
Average
$637
Median
$503
High
$6.5k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
295 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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306 hospital rates
iThe hospitals that file a Cigna 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 | 1 | $225 | $225 | — | — | 1–10 | $225 – $225 |
| 2 | AdventHealth Littleton Littleton, CO other · outpatient | 1 | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 3 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $319 | $319 | — | — | 43 | $319 – $319 |
| 4 | Adventhealth Gordon Calhoun, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3.2k | $3.2k | — | — | 1–10 | $3.2k – $3.2k |
| 5 | Adventhealth Hendersonville Hendersonville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $825 | $825 | — | — | 1–10 | $825 – $825 |
| 6 | Adventhealth Ottawa Ottawa, KS other · outpatient | 1 | $304 | $304 | — | — | 1–10 | $304 – $304 |
| 7 | Adventhealth Palm Coast Palm Coast, FL other · outpatient | 1 | $824 | $824 | — | — | 1–10 | $824 – $824 |
| 8 | Adventhealth Sebring Sebring, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 9 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 1 | $258 | $258 | — | — | 19 | $258 – $258 |
| 10 | Adventhealth Tampa Brandon, FL other · outpatient | 1 | $217 | $217 | — | — | 22 | $217 – $217 |
| 11 | Adventhealth Waterman Tavares, FL other · outpatient | 1 | $230 | $230 | — | — | 1–10 | $230 – $230 |
| 12 | Adventhealth Zephyrhills Zephyrhills, FL other · outpatient | 1 | $195 | $195 | — | — | 1–10 | $195 – $195 |
| 13 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $228 | $228 | $22 | 10% | — | $206 – $250 |
| 14 | Agnesian Healthcare Inc. Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $850 | $850 | — | — | 1–10 | $850 – $850 |
| 15 | Alomere Health Alexandria, MN facility · other · outpatient | 1 | $438 | $438 | — | — | 1–10 | $438 – $438 |
| 16 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 17 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 18 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $706 | $706 | — | — | 1–10 | $706 – $706 |
| 19 | Aspirus Ironwood Hospital Ironwood, MI percent of total billed charges · outpatientfrom % of charges | 1 | $802 | $802 | — | — | 1–10 | $802 – $802 |
| 20 | Aspirus Keweenaw Hospital Laurium, MI percent of total billed charges · outpatientfrom % of charges | 1 | $897 | $897 | — | — | 1–10 | $897 – $897 |
| 21 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $873 | — | — | 1–10 | $873 – $873 |
| 22 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $699 | $699 | — | — | 1–10 | $699 – $699 |
| 23 | Aspirus Merrill Hospital Merrill, WI percent of total billed charges · outpatientfrom % of charges | 1 | $770 | $770 | — | — | 1–10 | $770 – $770 |
| 24 | Aspirus Plover Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $846 | $846 | — | — | 1–10 | $846 – $846 |
| 25 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $736 | — | — | 1–10 | $736 – $736 |
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