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
$16
Average
$202
Median
$144
High
$4.3k
Each hospital's average Humana rate, under the methodology and billing class chosen below.
481 hospitals; the 90th percentile is 1.6× 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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483 hospital rates
iThe hospitals that file a Humana 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK fee schedule · outpatient | 2 | $140 | $140 | $3 | 2% | — | $137 – $143 |
| 2 | AdventHealth Deland Deland, FL other · outpatient | 2 | $167 | $167 | $6 | 3% | 2–20 | $162 – $173 |
| 3 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 4 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $694 | $694 | — | — | 1–10 | $694 – $694 |
| 5 | Adventhealth Daytona Beach Port Orange, FL other · outpatient | 1 | $170 | $170 | — | — | 1–10 | $170 – $170 |
| 6 | Adventhealth Fish Memorial Deltona, FL other · outpatient | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 7 | Adventhealth Gordon Calhoun, GA other · outpatient | 1 | $151 | $151 | — | — | 1–10 | $151 – $151 |
| 8 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
| 9 | Adventhealth Manchester Manchester, KY other · outpatient | 2 | $319 | $319 | $167 | 52% | 2–20 | $152 – $486 |
| 10 | Adventhealth Ocala Ocala, FL other · outpatient | 1 | $243 | $243 | — | — | 1–10 | $243 – $243 |
| 11 | Adventhealth Palm Coast Palm Coast, FL other · outpatient | 2 | $873 | $873 | $711 | 81% | 2–20 | $162 – $1.6k |
| 12 | Adventhealth Redmond Rome, GA other · outpatient | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 13 | Adventhealth Riverview Riverview, FL other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 14 | Adventhealth Tampa Brandon, FL other · outpatient | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 15 | Adventhealth Waterman Tavares, FL other · outpatient | 1 | $158 | $158 | — | — | 1–10 | $158 – $158 |
| 16 | Adventhealth Wesley Chapel Lutz, FL other · outpatient | 1 | $163 | $163 | — | — | 1–10 | $163 – $163 |
| 17 | Adventhealth Zephyrhills Zephyrhills, FL other · outpatient | 1 | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 18 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 19 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 1 | $154 | $154 | — | — | 24 | $154 – $154 |
| 20 | Aiken Regional Medical Centers North Augusta, SC fee schedule · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 21 | Alomere Health Alexandria, MN facility · other · outpatient | 1 | $188 | $188 | — | — | 11 | $188 – $188 |
| 22 | Altru Hospital Grand Forks, ND facility · other · outpatient | 1 | $158 | $158 | — | — | 31 | $158 – $158 |
| 23 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 1 | $158 | $158 | — | — | 31 | $158 – $158 |
| 24 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.8k | $3.8k | $1.9k | 49% | — | $136 – $4.8k |
| 25 | Aspirus Divine Savior Hospital Portage, WI other · outpatient | 1 | $145 | $145 | — | — | 1–10 | $145 – $145 |
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