APC 5723

Level 3 Diagnostic Tests

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

Humana pricing summary

Low

Average

$502

Median

$399

High

$4.2k

Humana rate distribution

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397 hospital rates

#		Plans
1	Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient	2	$263	$263	$122	46%	359–368	$142 – $385
2	University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient	2	$324	$324	$108	33%	206	$217 – $432
3	Endeavor Health Clinical Operations Skokie, IL other · outpatient	2	$604	$604	$62	10%	166–175	$542 – $667
4	Marietta Memorial Hospital Belpre, OH facility · other · outpatient	2	$348	$348	$4	1%	160–169	$345 – $352
5	Orlando Health, Inc. Orlando, FL other · outpatient	2	$508	$508	$51	10%	132	$457 – $558
6	Summa Health System Wadsworth, OH other · outpatient	2	$688	$688	$208	30%	119	$480 – $896
7	DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient	1	$530	$530	—	—	92	$530 – $530
8	The University of Chicago Medical Center Chicago, IL other · outpatient	1	$542	$542	—	—	89	$542 – $542
9	Sentara Hospitals Norfolk, VA facility · other · outpatient	1	$413	$413	—	—	65	$413 – $413
10	Edward Hospital Plainfield, IL other · outpatient	1	$542	$542	—	—	60	$542 – $542
11	West Chester Hospital, LLC West Chester, OH other · outpatient	2	$608	$608	$253	42%	60	$355 – $860
12	Lakeland Hospitals at Niles and St Joseph Inc Niles, MI facility · other · outpatient	1	$204	$204	—	—	58	$204 – $204
13	CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient	1	$162	$162	—	—	54	$162 – $162
14	SSM Health Care of Oklahoma, Inc Midwest City, OK other · outpatient	2	$640	$640	$234	36%	50	$407 – $874
15	OSF Saint Francis Medical Center Peoria, IL other · outpatient	1	$543	$543	—	—	48	$543 – $543
16	Northwest Community Hospital Arlington Heights, IL other · outpatient	2	$239	$239	$79	33%	46–55	$160 – $318
17	Metrohealth System Parma, OH facility · other · outpatient	1	$481	$481	—	—	44	$481 – $481
18	Aspirus Stevens Point Hospital Stevens Point, WI other · outpatient	1	$382	$382	—	—	41	$382 – $382
19	Ingalls Memorial Hospital Harvey, IL other · outpatient	1	$542	$542	—	—	41	$542 – $542
20	Billings Clinic Billings, MT other · outpatient	1	$520	$520	—	—	35	$520 – $520
21	SSM-SLUH, Inc. Saint Louis, MO other · outpatient	1	$506	$506	—	—	35	$506 – $506
22	The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient	2	$443	$443	$22	5%	34–43	$421 – $464
23	The Bryn Mawr Hospital Bryn Mawr, PA facility · other · outpatient	1	$543	$543	—	—	33	$543 – $543
24	The Methodist Hospital Houston, TX other · outpatient	1	$990	$990	—	—	32	$990 – $990
25	Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient	1	$483	$483	—	—	30	$483 – $483

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