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
$20
Average
$2.4k
Median
$2.0k
High
$7.0k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
36 hospitals; the 90th percentile is 25.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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36 hospital rates
iThe hospitals that file a Phcs rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 1 | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 2 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | 30 | $1.8k – $1.8k |
| 3 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 4 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 5 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 6 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 7 | EMORY UNIVERSITY Atlanta, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | 21 | $2.1k – $2.1k |
| 8 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 9 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $5.0k | $5.0k | — | — | 1–10 | $5.0k – $5.0k |
| 10 | Houston Methodist Cypress Hospital Cypress, TX other · outpatient | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 11 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $5.9k | $5.9k | — | — | 1–10 | $5.9k – $5.9k |
| 12 | Lankenau Medical Center Wynnewood, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 13 | Marietta Memorial Hospital Belpre, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | 1–10 | $5.5k – $5.5k |
| 14 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 15 | Methodist Children's Hospital Lubbock, TX other · outpatient | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 16 | Methodist Hospital Plainview Plainview, TX other · outpatient | 1 | $215 | $215 | — | — | 1–10 | $215 – $215 |
| 17 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 18 | Methodist West Houston Hospital Houston, TX other · outpatient | 1 | $7.0k | $7.0k | — | — | 1–10 | $7.0k – $7.0k |
| 19 | Methodist Willowbrook Hospital Houston, TX other · outpatient | 1 | $488 | $488 | — | — | 1–10 | $488 – $488 |
| 20 | OSF Healthcare System Monmouth, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
| 21 | OSF Healthcare System Kewanee, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 22 | OSF Saint Francis Medical Center Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
| 23 | OSF St Joseph Medical Center Bloomington, IL other · outpatient | 1 | $2.2k | $2.2k | — | — | 1–10 | $2.2k – $2.2k |
| 24 | Overlake Medical Center & Clinics Bellevue, WA percent of total billed charges · outpatientfrom % of charges | 1 | $587 | $587 | — | — | 1–10 | $587 – $587 |
| 25 | Paoli Hospital Paoli, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $252 | $252 | — | — | 1–10 | $252 – $252 |
← Payers reporting APC 5571 · Snapshot 20261111T120946Z-9134e7f7