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
$48
Average
$378
Median
$199
High
$7.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
609 hospitals; the 90th percentile is 5.3× 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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637 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 2 | AdventHealth Deland Deland, FL other · outpatient | 2 | $141 | $141 | $85 | 60% | 2–20 | $56 – $226 |
| 3 | AdventHealth Littleton Littleton, CO other · outpatient | 2 | $294 | $294 | $139 | 48% | 2–20 | $154 – $433 |
| 4 | AdventHealth Orlando Winter Park, FL other · outpatient | 2 | $245 | $245 | $82 | 34% | 40–49 | $162 – $327 |
| 5 | AdventHealth Polk Columbus, NC other · outpatient | 1 | $890 | $890 | — | — | 1–10 | $890 – $890 |
| 6 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 7 | AdventHealth Porter Denver, CO other · outpatient | 1 | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 8 | Adventhealth Gordon Calhoun, GA percent of total billed charges · outpatientfrom % of charges | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 9 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 2 | $177 | $177 | $33 | 19% | 2–20 | $144 – $211 |
| 10 | Adventhealth Hendersonville Hendersonville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $891 | $891 | — | — | 1–10 | $891 – $891 |
| 11 | Adventhealth Manchester Manchester, KY other · outpatient | 2 | $556 | $556 | $387 | 70% | 2–20 | $169 – $944 |
| 12 | Adventhealth Ocala Ocala, FL other · outpatient | 1 | $64 | $64 | — | — | 1–10 | $64 – $64 |
| 13 | Adventhealth Ottawa Ottawa, KS other · outpatient | 1 | $155 | $155 | — | — | 1–10 | $155 – $155 |
| 14 | Adventhealth Palm Coast Palm Coast, FL other · outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 15 | Adventhealth Sebring Sebring, FL other · outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 16 | Adventhealth Sebring Sebring, FL percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 17 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 2 | $316 | $316 | $171 | 54% | 45 | $145 – $487 |
| 18 | Adventhealth Tampa Brandon, FL other · outpatient | 2 | $198 | $198 | $36 | 18% | 31–40 | $162 – $234 |
| 19 | Adventhealth Waterman Tavares, FL other · outpatient | 1 | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 20 | Adventhealth Wesley Chapel Lutz, FL other · outpatient | 1 | $273 | $273 | — | — | 1–10 | $273 – $273 |
| 21 | Adventhealth Zephyrhills Zephyrhills, FL other · outpatient | 1 | $291 | $291 | — | — | 1–10 | $291 – $291 |
| 22 | Affinity Hospital LLC Birmingham, AL facility · per diem · outpatient | 1 | $116 | $116 | — | — | — | $116 – $116 |
| 23 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 3 | $153 | $304 | $279 | 92% | 335 | $63 – $695 |
| 24 | Aiken Regional Medical Centers North Augusta, SC fee schedule · outpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
| 25 | Alomere Health Alexandria, MN facility · other · outpatient | 2 | $356 | $356 | $194 | 55% | 76 | $162 – $550 |
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