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
$34
Average
$469
Median
$338
High
$1.3k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 7.0× 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.
Filter by billing methodology
Filter by billing class
35 hospital rates
iThe hospitals that file a First Health 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 | Alomere Health Alexandria, MN facility · other · outpatient | 1 | $611 | $611 | — | — | 1–10 | $611 – $611 |
| 2 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $546 | — | — | 1–10 | $546 – $546 |
| 3 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $850 | $850 | — | — | 1–10 | $850 – $850 |
| 4 | Aspirus Plover Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $802 | $802 | — | — | 1–10 | $802 – $802 |
| 5 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 1 | $802 | $802 | — | — | 1–10 | $802 – $802 |
| 6 | Aspirus St. Luke’s Hospital Duluth, MN percent of total billed charges · outpatientfrom % of charges | 1 | $789 | $789 | — | — | 1–10 | $789 – $789 |
| 7 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $850 | $850 | — | — | 1–10 | $850 – $850 |
| 8 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $802 | $802 | — | — | 1–10 | $802 – $802 |
| 9 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $802 | $802 | — | — | 1–10 | $802 – $802 |
| 10 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 11 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 12 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 13 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $315 | $315 | — | — | 1–10 | $315 – $315 |
| 14 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $313 | $313 | — | — | 1–10 | $313 – $313 |
| 15 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 16 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $338 | $338 | — | — | 1–10 | $338 – $338 |
| 17 | Keck Hospital of USC Los Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $617 | $617 | — | — | 1–10 | $617 – $617 |
| 18 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 19 | Legacy Good Samaritan Medical Center Portland, OR other · outpatient | 1 | $649 | $649 | — | — | 1–10 | $649 – $649 |
| 20 | Methodist Children's Hospital Lubbock, TX other · outpatient | 1 | $314 | $314 | — | — | 1–10 | $314 – $314 |
| 21 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $751 | $751 | — | — | 1–10 | $751 – $751 |
| 22 | Paoli Hospital Paoli, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $402 | $402 | — | — | 1–10 | $402 – $402 |
| 23 | Parkview Huntington Hospital Huntington, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 24 | Parkview Regional Medical Center Fort Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 25 | Parrish Medical Center TITUSVILLE, FL facility · fee schedule · outpatient | 1 | $132 | $132 | — | — | — | $132 – $132 |
← Payers reporting APC 5721 · Snapshot 20261111T120946Z-9134e7f7