APC 05571

Basic imaging scan with contrast

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

CT EXTREMITY UPPER COMBINED RT

Payers reporting APC 05571

Payer pricing summary

Low

$133

Average

$300

Median

$219

High

$1.1k

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Medical Mutual facility · other · outpatient	2	$606	$601	$51	9%	236–407	$554 – $657
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$104	$104	—	—	5–50	$104 – $104
3	Humana fee schedule · outpatient · +2 other terms	86	$174	$178	$5	3%	—	$128 – $186
4	Caresource fee schedule · outpatient · +1 other terms	20	$180	$180	$1	1%	—	$178 – $181
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	18	$200	$393	$305	78%	—	$96 – $982
6	Aetna facility · fee schedule · outpatient · +4 other terms	15	$172	$203	$75	37%	—	$156 – $543
7	Medicare facility · fee schedule · outpatient · +2 other terms	14	$181	$196	$119	61%	—	$156 – $3.5k
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$169	$175	$1	1%	—	$169 – $175
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$242	$240	$148	61%	—	$163 – $3.7k
10	Anthem facility · fee schedule · outpatient	5	$635	$567	$246	43%	—	$163 – $871
11	Clover fee schedule · outpatient	5	$184	$183	$1	1%	—	$182 – $184
12	Kaiser fee schedule · outpatient · +2 other terms	5	$181	$180	$1	1%	—	$178 – $181
13	WellCare fee schedule · outpatient · +2 other terms	5	$181	$180	$1	1%	—	$178 – $181
14	Ambetter facility · fee schedule · outpatient	4	$285	$261	$52	20%	—	$222 – $339
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$381	$410	$121	30%	—	$189 – $565
16	Devoted facility · fee schedule · outpatient	4	$178	$176	$6	3%	—	$168 – $183
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$197	$200	$10	5%	—	$179 – $207
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$289	$265	$105	39%	—	$174 – $394
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$173	$173	$3	2%	—	$169 – $177
20	Carefirst facility · fee schedule · outpatient	3	$207	$199	$11	6%	—	$184 – $207
21	Medica facility · fee schedule · outpatient	3	$188	$188	—	—	—	$188 – $188
22	Bcbs Ca facility · fee schedule · outpatient	2	$698	$645	$297	46%	—	$224 – $855
23	MultiPlan facility · other · outpatient · +1 other terms	2	$291	$291	$10	3%	—	$257 – $294
24	Cigna Healthspring facility · fee schedule · outpatient	1	$169	$169	—	—	—	$169 – $169
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$169	$169	$12	7%	—	$155 – $181

Page 1 of 2 · 27 payers