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
$10
Average
$569
Median
$397
High
$5.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
639 hospitals; the 90th percentile is 5.1× 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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676 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 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 4 | $584 | $468 | $202 | 43% | 1,527–1,536 | $117 – $584 |
| 2 | Rochester General Hospital Rochester, NY facility · other · outpatient | 4 | $531 | $586 | $205 | 35% | 1,229 | $363 – $920 |
| 3 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $742 | $742 | $447 | 60% | 1,187 | $295 – $1.2k |
| 4 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $429 | $544 | $293 | 54% | 1,042–1,051 | $301 – $1.0k |
| 5 | Stanford Health Care Stanford, CA other · outpatient | 1 | $2.7k | $2.7k | — | — | 1,023 | $2.7k – $2.7k |
| 6 | University of Washington Medical Center Seattle, WA other · outpatient | 7 | $375 | $589 | $355 | 60% | 1,014–1,023 | $156 – $1.1k |
| 7 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 3 | $358 | $365 | $196 | 54% | 998 | $129 – $608 |
| 8 | Rhode Island Hospital Providence, RI facility · other · outpatient | 5 | $355 | $546 | $300 | 55% | 985 | $334 – $1.1k |
| 9 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 6 | $1.1k | $1.1k | $532 | 49% | 958–976 | $457 – $2.0k |
| 10 | Ucsf Medical Center San Francisco, CA other · outpatient | 6 | $1.1k | $1.1k | $532 | 49% | 958–976 | $457 – $2.0k |
| 11 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $669 | $624 | $384 | 62% | 927–936 | $191 – $1.3k |
| 12 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $540 | $504 | $139 | 28% | 784 | $319 – $654 |
| 13 | The Unity Hospital of Rochester Rochester, NY facility · other · outpatient | 4 | $388 | $520 | $243 | 47% | 776 | $362 – $940 |
| 14 | Summa Health System Wadsworth, OH other · outpatient | 4 | $378 | $518 | $325 | 63% | 762–771 | $258 – $1.1k |
| 15 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $289 | $404 | $190 | 47% | 727 | $251 – $671 |
| 16 | MUSC Medical Center Charleston, SC facility · other · outpatient | 4 | $245 | $283 | $215 | 76% | 699–708 | $25 – $617 |
| 17 | Metrohealth System Parma, OH facility · other · outpatient | 4 | $371 | $466 | $226 | 48% | 686 | $283 – $839 |
| 18 | Harborview Medical Center Seattle, WA other · outpatient | 4 | $662 | $638 | $383 | 60% | 685–694 | $180 – $1.0k |
| 19 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 4 | $296 | $579 | $614 | 106% | 665 | $91 – $1.6k |
| 20 | Danbury Hospital New Milford, CT other · outpatient | 2 | $787 | $787 | $422 | 54% | 665 | $365 – $1.2k |
| 21 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 6 | $442 | $424 | $112 | 26% | 665 | $281 – $613 |
| 22 | Anderson Hospital Maryville, IL facility · other · outpatient | 1 | $4.8k | $3.8k | $1.9k | 50% | 595–667 | $228 – $4.8k |
| 23 | Northwest Community Hospital Arlington Heights, IL other · outpatient | 2 | $893 | $893 | $574 | 64% | 552 | $319 – $1.5k |
| 24 | Rady Children's Hospital - San Diego Murrieta, CA facility · other · outpatient | 3 | $448 | $511 | $102 | 20% | 536 | $430 – $655 |
| 25 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $642 | $642 | $332 | 52% | 516 | $310 – $973 |
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