APC 5571
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.
Original text from hospital filings
Level 1 Imaging with Contrast
Low
$154
Average
$763
Median
$434
High
$3.5k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 9.8× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 236 | $758 | $1.3k | $1.7k | 132% | 100,918–103,681 | $12 – $14.6k |
| 2 | UnitedHealthcare other · outpatient · +8 other terms | 253 | $678 | $962 | $1.3k | 138% | 56,041–57,976 | $23 – $10.4k |
| 3 | Aetna other · outpatient · +8 other terms | 232 | $711 | $1.1k | $2.3k | 201% | 34,204–35,995 | $83 – $39.9k |
| 4 | Humana other · outpatient · +7 other terms | 197 | $225 | $440 | $815 | 185% | 18,598–19,399 | $77 – $10.8k |
| 5 | Cigna other · outpatient · +6 other terms | 182 | $1.1k | $1.7k | $2.2k | 132% | 11,789–13,085 | $131 – $19.9k |
| 6 | Molina other · outpatient · +7 other terms | 98 | $346 | $495 | $613 | 124% | 4,434–5,253 | $39 – $6.6k |
| 7 | Excellus facility · other · outpatient · +1 other terms | 8 | $337 | $326 | $298 | 91% | 3,816–3,852 | $30 – $1.1k |
| 8 | Medical Mutual other · outpatient · +4 other terms | 23 | $859 | $1.2k | $1.1k | 97% | 2,577–2,766 | $164 – $6.0k |
| 9 | Oscar facility · other · outpatient · +6 other terms | 42 | $458 | $339 | $156 | 46% | 1,678–1,840 | $220 – $2.7k |
| 10 | Ambetter facility · other · outpatient · +5 other terms | 29 | $391 | $502 | $269 | 54% | 1,663–1,789 | $196 – $1.2k |
| 11 | Caresource facility · other · outpatient · +3 other terms | 35 | $458 | $505 | $299 | 59% | 1,375–1,663 | $141 – $1.7k |
| 12 | Optum facility · other · outpatient · +4 other terms | 27 | $194 | $651 | $373 | 57% | 973–1,090 | $136 – $1.9k |
| 13 | Healthpartners other · outpatient · +2 other terms | 5 | $1.3k | $1.4k | $1.0k | 72% | 834–933 | $303 – $3.4k |
| 14 | Bcbs Mn other · outpatient · +1 other terms | 1 | $691 | $691 | $459 | 66% | 508 | $240 – $1.4k |
| 15 | Kaiser other · outpatient · +6 other terms | 33 | $755 | $2.2k | $3.5k | 157% | 327–705 | $120 – $16.6k |
| 16 | Bcbs Mi other · outpatient · +1 other terms | 3 | $1.4k | $1.4k | $126 | 9% | 234–243 | $1.3k – $1.6k |
| 17 | Highmark facility · other · outpatient · +2 other terms | 11 | $288 | $293 | $147 | 50% | 193–292 | $18 – $2.0k |
| 18 | Ucare facility · other · outpatient · +2 other terms | 4 | $260 | $271 | $107 | 39% | 160–196 | $175 – $457 |
| 19 | Clover facility · other · outpatient · +4 other terms | 22 | $249 | $206 | $33 | 16% | 129–228 | $161 – $458 |
| 20 | Healthcare Highways other · outpatient · +2 other terms | 5 | $1.8k | $1.6k | $720 | 46% | 74–101 | $325 – $2.4k |
| 21 | First Health other · outpatient · +4 other terms | 30 | $1.0k | $1.4k | $957 | 69% | 64–316 | $307 – $4.7k |
| 22 | Tricare other · outpatient · +3 other terms | 13 | $305 | $600 | $696 | 116% | 56–155 | $157 – $2.7k |
| 23 | Medica other · outpatient · +3 other terms | 5 | $1.1k | $1.9k | $2.0k | 107% | 51–114 | $123 – $6.8k |
| 24 | Medicaid other · outpatient · +1 other terms | 6 | $217 | $536 | $712 | 133% | 48–93 | $209 – $2.1k |
| 25 | Aetna Better Health other · outpatient · +1 other terms | 1 | $353 | $353 | — | — | 24 | $353 – $353 |
← Hospitals reporting APC 5571 · Snapshot 20261111T120946Z-9134e7f7