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
$18
Average
$826
Median
$786
High
$2.7k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 9.4× 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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34 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 | Agnesian Healthcare Inc. Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 1 | $870 | $870 | — | — | 1–10 | $870 – $870 |
| 2 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $906 | $906 | — | — | 1–10 | $906 – $906 |
| 3 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 2 | $984 | $984 | $169 | 17% | 2–20 | $815 – $1.2k |
| 4 | Aspirus Plover Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $855 | $855 | — | — | 1–10 | $855 – $855 |
| 5 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 3 | $1.1k | $1.2k | $464 | 39% | 3–30 | $631 – $1.8k |
| 6 | Aspirus St. Luke’s Hospital Duluth, MN percent of total billed charges · outpatientfrom % of charges | 1 | $757 | $757 | — | — | 1–10 | $757 – $757 |
| 7 | Aspirus Stanley Hospital Stanley, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 8 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 2 | $878 | $878 | — | — | 2–20 | $878 – $878 |
| 9 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $855 | $855 | — | — | 1–10 | $855 – $855 |
| 10 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $816 | $816 | — | — | 1–10 | $816 – $816 |
| 11 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 12 | EMORY UNIVERSITY Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $198 | $198 | — | — | 1–10 | $198 – $198 |
| 13 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2k | $2k | — | — | 1–10 | $2k – $2k |
| 14 | Howard Young Medical Center Woodruff, WI percent of total billed charges · outpatientfrom % of charges | 2 | $866 | $866 | $41 | 5% | 2–20 | $825 – $906 |
| 15 | Lahey Hospital & Medical Center, Burlington Peabody, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 16 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 17 | Oakwood Healthcare Inc Dearborn, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 18 | Paoli Hospital Paoli, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $199 | $199 | — | — | 1–10 | $199 – $199 |
| 19 | Rhode Island Hospital Providence, RI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Rockford Memorial Hospital Rockford, IL other · outpatient | 1 | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 21 | SSM Health Care of Wisconsin, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $1.3k | $64 | 5% | 12–21 | $1.2k – $1.4k |
| 22 | SSM Health Care of Wisconsin, Inc Janesville, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 23 | SSM Health Care of Wisconsin, Inc Baraboo, WI percent of total billed charges · outpatientfrom % of charges | 2 | $715 | $715 | $458 | 64% | 2–20 | $257 – $1.2k |
| 24 | Sentara Princess Anne Hospital Virginia Beach, VA facility · other · outpatient | 1 | $517 | $517 | — | — | 1–10 | $517 – $517 |
| 25 | St Joseph Hospital of Orange Orange, CA other · outpatient | 1 | $239 | $239 | — | — | 1–10 | $239 – $239 |
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