APC 5723
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 3 Diagnostic Tests and Related Services
Low
$329
Average
$1.0k
Median
$816
High
$4.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 4.9× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 148 | $1.4k | $1.6k | $1.8k | 110% | 15,949–18,109 | $29 – $16.4k |
| 2 | Cigna other · outpatient · +6 other terms | 93 | $1.9k | $2.9k | $4.5k | 157% | 1,987–2,923 | $198 – $48.4k |
| 3 | Excellus case rate · outpatient · +1 other terms | 5 | $1.1k | $1.1k | $273 | 26% | 1,755–1,764 | $657 – $1.6k |
| 4 | Medical Mutual other · outpatient · +3 other terms | 17 | $2.2k | $2.7k | $2.7k | 100% | 395–620 | $197 – $10.9k |
| 5 | Caresource facility · other · outpatient · +3 other terms | 21 | $443 | $546 | $303 | 56% | 343–505 | $126 – $1.2k |
| 6 | Magellan other · outpatient · +3 other terms | 4 | $2.0k | $2.0k | — | — | 176 | $2.0k – $2.0k |
| 7 | Healthpartners other · outpatient · +1 other terms | 3 | $1.5k | $1.4k | $295 | 21% | 147–192 | $829 – $1.8k |
| 8 | Bcbs Mn other · outpatient | 1 | $1.0k | $1.0k | $344 | 33% | 128 | $510 – $1.5k |
| 9 | Medicaid other · outpatient · +1 other terms | 3 | $470 | $729 | $373 | 51% | 14–32 | $460 – $1.3k |
| 10 | First Health other · outpatient · +4 other terms | 12 | $848 | $1.4k | $956 | 67% | 12–120 | $422 – $3.2k |
| 11 | Bcbs Mi other · outpatient · +1 other terms | 1 | $729 | $729 | — | — | 12 | $729 – $729 |
| 12 | Tricare facility · other · outpatient · +3 other terms | 8 | $638 | $639 | $77 | 12% | 8–80 | $487 – $780 |
| 13 | Highmark facility · other · outpatient · +2 other terms | 7 | $609 | $624 | $280 | 45% | 8–80 | $166 – $2.9k |
| 14 | Ucare facility · other · outpatient · +2 other terms | 4 | $724 | $733 | $158 | 22% | 8–80 | $522 – $1000 |
| 15 | Healthcare Highways other · outpatient · +1 other terms | 2 | $2.9k | $2.9k | $765 | 26% | 2–20 | $2.1k – $3.7k |
| 16 | MultiPlan other · outpatient · +2 other terms | 2 | $2.1k | $2.1k | $982 | 46% | 2–20 | $1.1k – $3.1k |
| 17 | Phcs other · outpatient · +1 other terms | 2 | $724 | $724 | $690 | 95% | 2–20 | $35 – $1.4k |
| 18 | Carefirst facility · other · outpatient | 1 | $378 | $378 | — | — | 1–10 | $378 – $378 |
| 19 | UnitedHealthcare fee schedule · outpatient · +8 other terms | 176 | $387 | $432 | $196 | 45% | — | $332 – $1.5k |
| 20 | Humana fee schedule · outpatient · +6 other terms | 162 | $381 | $402 | $117 | 29% | — | $328 – $1.6k |
| 21 | Aetna fee schedule · outpatient · +8 other terms | 156 | $390 | $414 | $103 | 25% | — | $331 – $929 |
| 22 | WellCare fee schedule · outpatient · +4 other terms | 132 | $386 | $391 | $28 | 7% | — | $334 – $557 |
| 23 | Devoted fee schedule · outpatient · +3 other terms | 122 | $375 | $375 | $11 | 3% | — | $328 – $394 |
| 24 | Cigna Healthspring fee schedule · outpatient · +1 other terms | 110 | $394 | $386 | $16 | 4% | — | $375 – $417 |
| 25 | Molina fee schedule · outpatient · +5 other terms | 69 | $553 | $556 | $204 | 37% | — | $354 – $984 |
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