APC 5722

Level 2 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.

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Original text from hospital filings

Level 2 Diagnostic Tests and Related Services

Houston, TX

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How this price compares nationally

Methodist Willowbrook Hospital’s median price of $394 is 21% above the median hospital's median price ($325), higher than 65% of the 712 hospitals reporting APC 5722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5722 at Methodist Willowbrook Hospital

Negotiated rates from the hospital’s own file: 8 payers, 17 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	First Health first health/coventry ppo other · outpatient	$188	$188	—	—	1–10	$188 – $188
2	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$306	$306	—	—	1–10	$306 – $306
3	UnitedHealthcare medicare managed care - ppo other · outpatient	$306	$306	—	—	43	$306 – $306
4	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$315	$315	—	—	16	$315 – $315
5	Molina medicare/medicaid managed care plan other · outpatient	$329	$329	—	—	1–10	$329 – $329
6	Devoted medicare managed care - hmo other · outpatient	$330	$330	—	—	1–10	$330 – $330
7	UnitedHealthcare medicare managed care - hmo other · outpatient	$347	$347	—	—	25	$347 – $347
8	Aetna medicare managed care - hmo/ppo other · outpatient	$360	$360	—	—	47	$360 – $360
9	Humana medicare managed care - ppo other · outpatient	$394	$394	—	—	36	$394 – $394
10	Molina exchange other · outpatient	$624	$624	—	—	1–10	$624 – $624
11	Blue Cross Blue Shield all commercial plans other · outpatient	$1.2k	$1.2k	—	—	89	$1.2k – $1.2k
12	Molina medicaid managed care plan other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
13	Cigna network c-24 hmo/ppo other · outpatient	$3.0k	$3.0k	—	—	1–10	$3.0k – $3.0k
14	Cigna local plus/surefit hmo/ppo other · outpatient	$3.0k	$3.0k	—	—	1–10	$3.0k – $3.0k
15	Aetna hmo/pos/ppo other · outpatient	$3.2k	$3.2k	—	—	11	$3.2k – $3.2k
16	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$3.5k	$3.5k	—	—	1–10	$3.5k – $3.5k
17	UnitedHealthcare all commercial plans other · outpatient	$4.1k	$4.1k	—	—	15	$4.1k – $4.1k

Last updated: Apr 1, 2026

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