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
$89
Average
$413
Median
$375
High
$4.3k
Each hospital's average Devoted rate, under the methodology and billing class chosen below.
179 hospitals; the 90th percentile is 1.2× 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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179 hospital rates
iThe hospitals that file a Devoted 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 | Metrohealth System Parma, OH facility · other · outpatient | 1 | $483 | $483 | — | — | 38 | $483 – $483 |
| 2 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 1 | $103 | $103 | — | — | 25 | $103 – $103 |
| 3 | AdventHealth Orlando Winter Park, FL other · outpatient | 1 | $904 | $904 | — | — | 1–10 | $904 – $904 |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $122 | $122 | — | — | 1–10 | $122 – $122 |
| 5 | Honorhealth Scottsdale Osborn Medical Center Scottsdale, AZ facility · other · outpatient | 1 | $89 | $89 | — | — | 1–10 | $89 – $89 |
| 6 | Honorhealth Scottsdale Shea Medical Center Scottsdale, AZ facility · other · outpatient | 1 | $682 | $682 | — | — | 1–10 | $682 – $682 |
| 7 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $735 | $735 | — | — | 1–10 | $735 – $735 |
| 8 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $530 | $530 | — | — | 1–10 | $530 – $530 |
| 9 | Legacy Good Samaritan Medical Center Portland, OR other · outpatient | 1 | $955 | $955 | — | — | 1–10 | $955 – $955 |
| 10 | Marion General Hospital Marion, OH other · outpatient | 1 | $334 | $334 | — | — | 1–10 | $334 – $334 |
| 11 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $893 | $893 | — | — | 1–10 | $893 – $893 |
| 12 | Methodist West Houston Hospital Houston, TX other · outpatient | 1 | $557 | $557 | — | — | 1–10 | $557 – $557 |
| 13 | Northwest Community Hospital Arlington Heights, IL other · outpatient | 1 | $160 | $160 | — | — | 1–10 | $160 – $160 |
| 14 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $404 | $404 | — | — | 1–10 | $404 – $404 |
| 15 | Northwest Sahurita Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $404 | $404 | — | — | 1–10 | $404 – $404 |
| 16 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $559 | $559 | — | — | 1–10 | $559 – $559 |
| 17 | Oro Valley Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $404 | $404 | — | — | 1–10 | $404 – $404 |
| 18 | Riverside Methodist Hospital Columbus, OH other · outpatient | 1 | $437 | $437 | — | — | 1–10 | $437 – $437 |
| 19 | The Methodist Hospital Houston, TX other · outpatient | 1 | $680 | $680 | — | — | 1–10 | $680 – $680 |
| 20 | West Chester Hospital, LLC West Chester, OH other · outpatient | 1 | $469 | $469 | — | — | 1–10 | $469 – $469 |
| 21 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 22 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $4.9k | $4.3k | $1.5k | 35% | — | $401 – $4.9k |
| 23 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $374 | $374 | — | — | — | $374 – $374 |
| 24 | Bluffton Health System LLC Bluffton, IN facility · fee schedule · outpatient | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 25 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $362 | $362 | — | — | — | $362 – $362 |
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