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
$155
Average
$1.2k
Median
$541
High
$10.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
471 hospitals; the 90th percentile is 7.5× 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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485 hospital rates
iThe hospitals that file a Aetna 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 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $544 | $625 | $345 | 55% | 388 | $250 – $1.1k |
| 2 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 6 | $880 | $894 | $466 | 52% | 262–271 | $198 – $1.5k |
| 3 | The University of Chicago Medical Center Chicago, IL other · outpatient | 3 | $614 | $841 | $382 | 45% | 243 | $530 – $1.4k |
| 4 | Stanford Health Care Stanford, CA other · outpatient | 1 | $5.6k | $5.6k | — | — | 234 | $5.6k – $5.6k |
| 5 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 1 | $2.6k | $2.6k | — | — | 209 | $2.6k – $2.6k |
| 6 | Ucsf Medical Center San Francisco, CA other · outpatient | 1 | $2.6k | $2.6k | — | — | 209 | $2.6k – $2.6k |
| 7 | Swedish Health Services Redmond, WA other · outpatient | 3 | $605 | $1.3k | $967 | 76% | 201 | $566 – $2.6k |
| 8 | Orlando Health, Inc. Orlando, FL other · outpatient | 7 | $1.0k | $1.1k | $607 | 56% | 196–205 | $470 – $2.3k |
| 9 | The Mount Sinai Hospital New York, NY other · outpatient | 2 | $1.8k | $1.8k | $1.2k | 66% | 192 | $628 – $3.1k |
| 10 | OSF Saint Francis Medical Center Peoria, IL other · outpatient | 3 | $544 | $735 | $310 | 42% | 182 | $489 – $1.2k |
| 11 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 3 | $351 | $1.1k | $1.2k | 105% | 179 | $233 – $2.8k |
| 12 | Northwest Community Hospital Arlington Heights, IL other · outpatient | 4 | $146 | $228 | $153 | 67% | 179–188 | $128 – $492 |
| 13 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 3 | $708 | $839 | $320 | 38% | 164 | $528 – $1.3k |
| 14 | Edward Hospital Plainfield, IL other · outpatient | 4 | $488 | $977 | $1.1k | 109% | 149–167 | $130 – $2.8k |
| 15 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 4 | $932 | $1.1k | $606 | 57% | 137–155 | $459 – $1.9k |
| 16 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 2 | $1.5k | $1.5k | $1.1k | 74% | 135 | $387 – $2.6k |
| 17 | Summa Health System Wadsworth, OH other · outpatient | 3 | $695 | $1.3k | $943 | 75% | 126–135 | $481 – $2.6k |
| 18 | The Methodist Hospital Houston, TX other · outpatient | 3 | $5.1k | $5.6k | $4.3k | 77% | 116–125 | $626 – $11.2k |
| 19 | University of Washington Medical Center Seattle, WA other · outpatient | 2 | $1.1k | $1.1k | $471 | 45% | 97 | $587 – $1.5k |
| 20 | Metrohealth System Parma, OH facility · other · outpatient | 3 | $481 | $1.7k | $1.8k | 111% | 93–102 | $248 – $4.3k |
| 21 | Regents of the University of California at Irvine Hospital Orange, CA other · outpatient | 1 | $1.6k | $1.6k | — | — | 87 | $1.6k – $1.6k |
| 22 | UCI Health - Fountain Valley Orange, CA other · outpatient | 1 | $1.6k | $1.6k | — | — | 87 | $1.6k – $1.6k |
| 23 | UCI Health - Lakewood Orange, CA other · outpatient | 1 | $1.6k | $1.6k | — | — | 87 | $1.6k – $1.6k |
| 24 | UCI Health - Los Alamitos Orange, CA other · outpatient | 1 | $1.6k | $1.6k | — | — | 87 | $1.6k – $1.6k |
| 25 | Ingalls Memorial Hospital Harvey, IL other · outpatient | 3 | $553 | $791 | $565 | 71% | 84 | $250 – $1.6k |
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