APC 5722
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 2 Diagnostic Tests and Related Services
Low
$205
Average
$745
Median
$526
High
$3.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
80 hospitals; the 90th percentile is 6.6× 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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88 hospital rates
iThe hospitals that file a Anthem 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 | Alta Bates Summit Medical Center Oakland, CA facility · other · outpatient | 2 | $1.1k | $1.1k | $497 | 47% | 2–20 | $572 – $1.6k |
| 2 | Alta Bates Summit Medical Center - Alta Bates Camp Berkeley, CA facility · other · outpatient | 2 | $1.4k | $1.4k | $943 | 68% | 23–32 | $436 – $2.3k |
| 3 | Alta Bates Summit Medical Center - Herrick Campus Berkeley, CA facility · other · outpatient | 2 | $1.4k | $1.4k | $943 | 68% | 23–32 | $436 – $2.3k |
| 4 | Alta Bates Summit Medical Center-Summit Campus-Hawthorne Oakland, CA facility · other · outpatient | 2 | $1.1k | $1.1k | $497 | 47% | 2–20 | $572 – $1.6k |
| 5 | Aspirus Divine Savior Hospital Portage, WI other · outpatient | 9 | $301 | $658 | $502 | 76% | 45–108 | $81 – $1.7k |
| 6 | Aspirus Iron River Hospital Iron River, MI other · outpatient | 3 | $628 | $924 | $586 | 63% | 3–30 | $402 – $1.7k |
| 7 | Aspirus Ironwood Hospital Ironwood, MI other · outpatient | 3 | $1.5k | $2.3k | $1.5k | 65% | 3–30 | $1.0k – $4.4k |
| 8 | Aspirus Langlade Hospital Antigo, WI other · outpatient | 8 | $535 | $853 | $529 | 62% | 50–95 | $288 – $1.7k |
| 9 | Aspirus Medford Hospital Medford, WI other · outpatient | 7 | $527 | $829 | $506 | 61% | 31–76 | $403 – $1.7k |
| 10 | Aspirus Rhinelander Hospital Rhinelander, WI other · outpatient | 8 | $320 | $653 | $508 | 78% | 23–86 | $103 – $1.5k |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN other · outpatient | 3 | $1.3k | $1.0k | $493 | 49% | 3–30 | $306 – $1.4k |
| 12 | Aspirus Stevens Point Hospital Stevens Point, WI other · outpatient | 10 | $665 | $782 | $596 | 76% | 241–277 | $90 – $1.8k |
| 13 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 9 | $296 | $812 | $624 | 77% | 330–348 | $105 – $1.6k |
| 14 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI other · outpatient | 8 | $296 | $787 | $706 | 90% | 116–134 | $91 – $1.8k |
| 15 | Atrium Medical Center Middletown, OH other · outpatient | 6 | $917 | $799 | $196 | 25% | 188–197 | $441 – $945 |
| 16 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 6 | $751 | $544 | $286 | 53% | — | $225 – $939 |
| 17 | Bluffton Health System LLC Bluffton, IN facility · other · outpatient | 2 | $366 | $363 | $18 | 5% | — | $228 – $366 |
| 18 | CATHOLIC MEDICAL CENTER MANCHESTER, NH fee schedule · outpatient | 1 | $241 | $241 | — | — | — | $241 – $241 |
| 19 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $228 | $228 | — | — | — | $228 – $228 |
| 20 | California Pacific Medical Center - Mission Bernal San Francisco, CA facility · other · outpatient | 3 | $449 | $1.0k | $979 | 95% | 37–55 | $225 – $2.4k |
| 21 | California Pacific Medical Center- Van Ness Campus San Francisco, CA facility · other · outpatient | 4 | $1.1k | $1.2k | $711 | 61% | 22–49 | $451 – $1.9k |
| 22 | California Pacific Medical Ctr-Davies Campus Hospital San Francisco, CA facility · other · outpatient | 3 | $589 | $2.4k | $2.9k | 121% | 3–30 | $107 – $6.4k |
| 23 | Centennial Hills Las Vegas, NV fee schedule · outpatient | 1 | $311 | $311 | — | — | — | $311 – $311 |
| 24 | Children's Hospital of the King's Daughters Norfolk, VA facility · fee schedule · outpatient | 2 | $742 | $735 | $49 | 7% | — | $371 – $742 |
| 25 | Corona Regional Medical Center Corona, CA fee schedule · outpatient | 1 | $318 | $318 | — | — | — | $318 – $318 |
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