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
$125
Average
$709
Median
$576
High
$3.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 6.5× 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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20 hospital rates
iThe hospitals that file a Phcs 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 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $933 | $933 | — | — | 1–10 | $933 – $933 |
| 2 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $441 | $441 | — | — | 1–10 | $441 – $441 |
| 3 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $576 | $576 | — | — | 1–10 | $576 – $576 |
| 4 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $593 | $593 | — | — | 1–10 | $593 – $593 |
| 5 | EMORY UNIVERSITY Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $576 | $576 | — | — | 13 | $576 – $576 |
| 6 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 7 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $138 | $138 | — | — | 1–10 | $138 – $138 |
| 8 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 9 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 10 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 11 | OSF Saint Francis Medical Center Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 12 | OSF St Joseph Medical Center Bloomington, IL other · outpatient | 1 | $812 | $812 | — | — | 1–10 | $812 – $812 |
| 13 | SSM Regional Health Services Jefferson City, MO percent of total billed charges · outpatientfrom % of charges | 1 | $204 | $204 | — | — | 1–10 | $204 – $204 |
| 14 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 15 | South Shore Hospital South Weymouth, MA other · outpatient | 1 | $516 | $516 | — | — | 1–10 | $516 – $516 |
| 16 | St Josephs Hospital - Savannah Savannah, GA other · outpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 17 | St. Anthony Shawnee Hospital, Inc Seminole, OK other · outpatient | 1 | $219 | $219 | — | — | 1–10 | $219 – $219 |
| 18 | The Bryn Mawr Hospital Bryn Mawr, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $191 | $191 | — | — | 1–10 | $191 – $191 |
| 19 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 1 | $674 | $674 | — | — | 1–10 | $674 – $674 |
| 20 | The Methodist Hospital Houston, TX other · outpatient | 1 | $991 | $991 | — | — | 1–10 | $991 – $991 |
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