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
$60
Average
$1.5k
Median
$1.1k
High
$3.9k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
41 hospitals; the 90th percentile is 16.6× 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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41 hospital rates
iThe hospitals that file a First Health 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 | Alomere Health Alexandria, MN facility · other · outpatient | 1 | $694 | $694 | — | — | 1–10 | $694 – $694 |
| 2 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 3 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 4 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 5 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 6 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 7 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 8 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $828 | $828 | — | — | 1–10 | $828 – $828 |
| 9 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $776 | $776 | — | — | 1–10 | $776 – $776 |
| 10 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 11 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $633 | $633 | — | — | 1–10 | $633 – $633 |
| 12 | Grant Medical Center Columbus, OH other · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 13 | Hamilton Medical Center Dalton, GA facility · other · outpatient | 1 | $3.6k | $3.6k | — | — | 1–10 | $3.6k – $3.6k |
| 14 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 15 | Keck Hospital of USC Los Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 16 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $60 | $60 | — | — | 1–10 | $60 – $60 |
| 17 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 18 | Legacy Meridian Park Medical Center Tualatin, OR other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 19 | Legacy Mount Hood Medical Center Gresham, OR other · outpatient | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 20 | Long Beach Memorial Medical Center Long Beach, CA percent of total billed charges · outpatientfrom % of charges | 1 | $805 | $805 | — | — | 1–10 | $805 – $805 |
| 21 | Methodist Hospital Plainview Plainview, TX other · outpatient | 1 | $662 | $662 | — | — | 1–10 | $662 – $662 |
| 22 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $188 | $188 | — | — | 1–10 | $188 – $188 |
| 23 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 24 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 1 | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 25 | Oklahoma State University Medical Center Tulsa, OK facility · other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
← Payers reporting APC 5722 · Snapshot 20261111T120946Z-9134e7f7