APC 5721

Level 1 Diagnostic Tests at Methodist Willowbrook Hospital

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 1 Diagnostic Tests and Related Services

Houston, TX

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Payers reporting APC 5721 at Methodist Willowbrook Hospital

Negotiated rates from the hospital’s own file: 9 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	UnitedHealthcare medicare managed care - hmo other · outpatient	$151	$151	—	—	21	$151 – $151
2	Humana medicare managed care - ppo other · outpatient	$154	$154	—	—	19	$154 – $154
3	UnitedHealthcare medicare managed care - ppo other · outpatient	$154	$154	—	—	50	$154 – $154
4	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$156	$156	—	—	1–10	$156 – $156
5	Aetna medicare managed care - hmo/ppo other · outpatient	$157	$157	—	—	21	$157 – $157
6	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$158	$158	—	—	12	$158 – $158
7	Devoted medicare managed care - hmo other · outpatient	$164	$164	—	—	1–10	$164 – $164
8	Phcs ppo other · outpatient	$219	$219	—	—	1–10	$219 – $219
9	Molina exchange other · outpatient	$298	$298	—	—	1–10	$298 – $298
10	Molina medicaid managed care plan other · outpatient	$350	$350	—	—	1–10	$350 – $350
11	Blue Cross Blue Shield all commercial plans other · outpatient	$389	$389	—	—	406	$389 – $389
12	First Health first health/coventry ppo other · outpatient	$751	$751	—	—	1–10	$751 – $751
13	Cigna local plus/surefit hmo/ppo other · outpatient	$907	$907	—	—	1–10	$907 – $907
14	Cigna network c-24 hmo/ppo other · outpatient	$907	$907	—	—	1–10	$907 – $907
15	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$958	$958	—	—	110	$958 – $958
16	Cigna all other benefit plans ppo other · outpatient	$1.0k	$1.0k	—	—	1–10	$1.0k – $1.0k
17	UnitedHealthcare all commercial plans other · outpatient	$1.1k	$1.1k	—	—	117	$1.1k – $1.1k
18	Aetna hmo/pos/ppo other · outpatient	$1.7k	$1.7k	—	—	80	$1.7k – $1.7k
19	Aetna new business discount other commercial plan other · outpatient	$1.7k	$1.7k	—	—	1–10	$1.7k – $1.7k