APC 5722
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 2 Diagnostic Tests and Related Services
Cleveland, OH
See all hospitals reporting APC 5722 →Price type
Metrohealth System’s median price of $378 is 16% above the median hospital's median price ($325), higher than 63% of the 712 hospitals reporting APC 5722. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 | Cigna medicare managed care plan facility · other · outpatient | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 2 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $226 | $226 | — | — | 83 | $226 – $226 |
| 3 | Molina medicare managed care facility · other · outpatient | $268 | $268 | — | — | 1–10 | $268 – $268 |
| 4 | Molina medicaid managed care plan facility · other · outpatient | $272 | $272 | — | — | 57 | $272 – $272 |
| 5 | Aetna medicare managed care plan facility · other · outpatient | $282 | $282 | — | — | 224 | $282 – $282 |
| 6 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $283 | $283 | — | — | 362 | $283 – $283 |
| 7 | Caresource medicare managed care plan facility · other · outpatient | $283 | $283 | — | — | 53 | $283 – $283 |
| 8 | Humana medicare managed care facility · other · outpatient | $283 | $283 | — | — | 159 | $283 – $283 |
| 9 | UnitedHealthcare medicare managed care facility · other · outpatient | $283 | $283 | — | — | 473 | $283 – $283 |
| 10 | Devoted medicare managed care facility · other · outpatient | $285 | $285 | — | — | 130 | $285 – $285 |
| 11 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $288 | $288 | — | — | 17 | $288 – $288 |
| 12 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $371 | $371 | — | — | 82 | $371 – $371 |
| 13 | Tricare government facility · other · outpatient | $379 | $379 | — | — | 1–10 | $379 – $379 |
| 14 | Caresource medicaid managed care plan facility · other · outpatient | $395 | $395 | — | — | 154 | $395 – $395 |
| 15 | Caresource exchange facility · other · outpatient | $403 | $403 | — | — | 71 | $403 – $403 |
| 16 | Molina exchange facility · other · outpatient | $403 | $403 | — | — | 133 | $403 – $403 |
| 17 | Aetna cvs exchange facility · other · outpatient | $452 | $452 | — | — | 1–10 | $452 – $452 |
| 18 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $455 | $455 | — | — | 98 | $455 – $455 |
| 19 | Aetna medicaid managed care plan facility · other · outpatient | $495 | $495 | — | — | 1–10 | $495 – $495 |
| 20 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $622 | $622 | — | — | 1–10 | $622 – $622 |
| 21 | Medical Mutual all commercial plans facility · other · outpatient | $825 | $825 | — | — | 676 | $825 – $825 |
| 22 | UnitedHealthcare all commercial plans facility · other · outpatient | $839 | $839 | — | — | 98 | $839 – $839 |
| 23 | Cigna all commercial plans facility · other · outpatient | $869 | $869 | — | — | 131 | $869 – $869 |
| 24 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $1.1k | $1.1k | — | — | 358 | $1.1k – $1.1k |
| 25 | Aetna all commercial plans facility · other · outpatient | $1.5k | $1.5k | — | — | 76 | $1.5k – $1.5k |
Last updated: Apr 1, 2026
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