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
$9
Average
$816
Median
$400
High
$9.0k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
69 hospitals; the 90th percentile is 4.2× 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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69 hospital rates
iThe hospitals that file a Optum 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 | Keck Hospital of USC Los Angeles, CA facility · other · outpatient | 2 | $3.0k | $3.0k | $706 | 23% | 67 | $2.3k – $3.7k |
| 2 | Altru Hospital Grand Forks, ND facility · other · outpatient | 1 | $568 | $568 | — | — | 31 | $568 – $568 |
| 3 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 1 | $568 | $568 | — | — | 31 | $568 – $568 |
| 4 | Sutter Center For Psychiatry Sacramento, CA facility · other · outpatient | 2 | $3.4k | $3.4k | $1.1k | 33% | 23–32 | $2.3k – $4.6k |
| 5 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $528 | $528 | — | — | 14 | $528 – $528 |
| 6 | The Methodist Hospital Houston, TX other · outpatient | 2 | $4.3k | $4.3k | $2.4k | 55% | 2–20 | $2.0k – $6.7k |
| 7 | USC Verdugo Hills Hospital Glendale, CA facility · other · outpatient | 2 | $1.4k | $1.4k | $383 | 27% | 2–20 | $1.0k – $1.8k |
| 8 | Clinton Memorial Hospital Wilmington, OH other · outpatient | 1 | $499 | $499 | — | — | 1–10 | $499 – $499 |
| 9 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · other · outpatient | 1 | $528 | $528 | — | — | 1–10 | $528 – $528 |
| 10 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $525 | $525 | — | — | 1–10 | $525 – $525 |
| 11 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $9.0k | $9.0k | — | — | 1–10 | $9.0k – $9.0k |
| 12 | MUSC Health Florence Medical Center Florence, SC facility · other · outpatient | 1 | $493 | $493 | — | — | 1–10 | $493 – $493 |
| 13 | MUSC Medical Center Charleston, SC facility · other · outpatient | 1 | $468 | $468 | — | — | 1–10 | $468 – $468 |
| 14 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $493 | $493 | — | — | 1–10 | $493 – $493 |
| 15 | Phoebe Putney Memorial Hospital & North Campus Albany, GA other · outpatient | 1 | $552 | $552 | — | — | 1–10 | $552 – $552 |
| 16 | Rochester General Hospital Rochester, NY facility · other · outpatient | 1 | $9 | $9 | — | — | 1–10 | $9 – $9 |
| 17 | SAINT JOSEPHS HOSPITAL OF ATLANTA INC Atlanta, GA facility · other · outpatient | 1 | $528 | $528 | — | — | 1–10 | $528 – $528 |
| 18 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 1 | $531 | $531 | — | — | 1–10 | $531 – $531 |
| 19 | Stanford Health Care Stanford, CA other · outpatient | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 20 | Tallahassee Memorial Healthcare, Inc. Tallahassee, FL facility · other · outpatient | 1 | $533 | $533 | — | — | 1–10 | $533 – $533 |
| 21 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 1 | $501 | $501 | — | — | 1–10 | $501 – $501 |
| 22 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 1 | $536 | $536 | — | — | 1–10 | $536 – $536 |
| 23 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $341 | $341 | — | — | — | $341 – $341 |
| 24 | Bluffton Health System LLC Bluffton, IN facility · per diem · outpatient | 1 | $395 | $395 | — | — | — | $395 – $395 |
| 25 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
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