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
$31
Average
$623
Median
$553
High
$4.3k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
168 hospitals; the 90th percentile is 3.2× 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.
Filter by billing methodology
Filter by billing class
169 hospital rates
iThe hospitals that file a Molina 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 | Providence Health And Services - Washington Spokane, WA other · outpatient | 2 | $491 | $491 | $11 | 2% | 231 | $480 – $502 |
| 2 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 4 | $313 | $335 | $141 | 42% | 195–204 | $197 – $515 |
| 3 | University of Washington Medical Center Seattle, WA other · outpatient | 3 | $498 | $657 | $249 | 38% | 155–164 | $465 – $1.0k |
| 4 | OSF Saint Francis Medical Center Peoria, IL other · outpatient | 2 | $480 | $480 | $64 | 13% | 131–140 | $416 – $544 |
| 5 | Corewell Health Blodgett Hospital East Grand Rapids, MI facility · other · outpatient | 3 | $554 | $610 | $224 | 37% | 91–109 | $368 – $909 |
| 6 | Corewell Health Butterworth Hospital Grand Rapids, MI facility · other · outpatient | 3 | $554 | $610 | $224 | 37% | 91–109 | $368 – $909 |
| 7 | Corewell Helen Devos Childrens Hospital Grand Rapids, MI facility · other · outpatient | 3 | $554 | $610 | $224 | 37% | 91–109 | $368 – $909 |
| 8 | Harborview Medical Center Seattle, WA other · outpatient | 3 | $1.0k | $772 | $377 | 49% | 83–101 | $241 – $1.1k |
| 9 | Metrohealth System Parma, OH facility · other · outpatient | 2 | $785 | $785 | $99 | 13% | 70 | $686 – $885 |
| 10 | MUSC Medical Center Charleston, SC facility · other · outpatient | 3 | $503 | $652 | $221 | 34% | 69–78 | $488 – $964 |
| 11 | Swedish Health Services Redmond, WA other · outpatient | 1 | $379 | $379 | — | — | 52 | $379 – $379 |
| 12 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 1 | $1.2k | $1.2k | — | — | 39 | $1.2k – $1.2k |
| 13 | Summa Health System Wadsworth, OH other · outpatient | 2 | $971 | $971 | $58 | 6% | 35–44 | $913 – $1.0k |
| 14 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 2 | $280 | $280 | $118 | 42% | 30–39 | $162 – $398 |
| 15 | Oakwood Healthcare Inc Trenton, MI facility · other · outpatient | 1 | $284 | $284 | — | — | 24 | $284 – $284 |
| 16 | Marion General Hospital Marion, OH other · outpatient | 1 | $617 | $617 | — | — | 21 | $617 – $617 |
| 17 | Legacy Salmon Creek Medical Center Vancouver, WA other · outpatient | 1 | $474 | $474 | — | — | 20 | $474 – $474 |
| 18 | Riverside Methodist Hospital Columbus, OH other · outpatient | 2 | $1.7k | $1.7k | $1.0k | 61% | 20–29 | $675 – $2.8k |
| 19 | Fairfield Medical Center 401 N Ewing St facility · other · outpatient | 1 | $10.1k | $5.4k | $4.8k | 88% | 19–55 | $297 – $10.1k |
| 20 | Legacy Emanuel Medical Center Portland, OR other · outpatient | 1 | $791 | $791 | — | — | 19 | $791 – $791 |
| 21 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 1 | $255 | $255 | — | — | 17 | $255 – $255 |
| 22 | OSF Healthcare System Alton, IL other · outpatient | 2 | $397 | $397 | $147 | 37% | 15–24 | $250 – $544 |
| 23 | Swedish Health Services Seattle, WA other · outpatient | 2 | $774 | $774 | $171 | 22% | 13–22 | $602 – $945 |
| 24 | Oakwood Healthcare Inc Wayne, MI facility · other · outpatient | 2 | $480 | $480 | $196 | 41% | 12–21 | $284 – $676 |
| 25 | St. Mary's Hospital, Centralia, Illinois Centralia, IL other · outpatient | 1 | $257 | $257 | — | — | 11 | $257 – $257 |
← Payers reporting APC 5723 · Snapshot 20261111T120946Z-9134e7f7