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
$132
Average
$760
Median
$357
High
$10.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
681 hospitals; the 90th percentile is 9.6× 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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722 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $412 | $422 | $135 | 32% | 1,585–1,594 | $242 – $623 |
| 2 | University of Washington Medical Center Seattle, WA other · outpatient | 6 | $351 | $482 | $362 | 75% | 1,418–1,427 | $156 – $1.2k |
| 3 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $313 | $295 | $98 | 33% | 1,398 | $167 – $404 |
| 4 | Northwest Community Hospital Arlington Heights, IL other · outpatient | 2 | $713 | $713 | $529 | 74% | 1,368 | $184 – $1.2k |
| 5 | Fred Hutchinson Cancer Center Seattle, WA other · outpatient | 4 | $3.4k | $3.6k | $2.6k | 72% | 1,366 | $220 – $7.6k |
| 6 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $1.5k | $1.1k | $662 | 58% | 1,321 | $218 – $1.7k |
| 7 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 4 | $592 | $569 | $224 | 39% | 1,278–1,287 | $262 – $829 |
| 8 | The Methodist Hospital Houston, TX other · outpatient | 3 | $182 | $776 | $844 | 109% | 1,257 | $176 – $2.0k |
| 9 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $1.1k | $1.3k | $1.0k | 77% | 1,226 | $283 – $2.8k |
| 10 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $361 | $361 | $173 | 48% | 1,174 | $188 – $533 |
| 11 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 3 | $196 | $701 | $727 | 104% | 1,123 | $178 – $1.7k |
| 12 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $434 | $726 | $685 | 94% | 1,062–1,080 | $118 – $2.0k |
| 13 | Rhode Island Hospital Providence, RI facility · other · outpatient | 4 | $365 | $493 | $351 | 71% | 1,005 | $192 – $1.0k |
| 14 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 4 | $169 | $938 | $1.3k | 143% | 1,001 | $155 – $3.3k |
| 15 | MUSC Medical Center Charleston, SC facility · other · outpatient | 3 | $313 | $823 | $752 | 91% | 987 | $270 – $1.9k |
| 16 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 4 | $6.2k | $4.9k | $2.5k | 51% | 986 | $638 – $6.7k |
| 17 | Ucsf Medical Center San Francisco, CA other · outpatient | 4 | $6.2k | $4.9k | $2.5k | 51% | 986 | $638 – $6.7k |
| 18 | Summa Health System Wadsworth, OH other · outpatient | 4 | $257 | $321 | $170 | 53% | 979–988 | $163 – $607 |
| 19 | Rochester General Hospital Rochester, NY facility · other · outpatient | 4 | $287 | $317 | $107 | 34% | 977 | $207 – $488 |
| 20 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 6 | $308 | $311 | $66 | 21% | 936 | $228 – $402 |
| 21 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 4 | $484 | $640 | $461 | 72% | 925–934 | $184 – $1.4k |
| 22 | Stanford Health Care Stanford, CA other · outpatient | 1 | $9.5k | $9.5k | — | — | 909 | $9.5k – $9.5k |
| 23 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 4 | $658 | $1.0k | $903 | 88% | 885 | $245 – $2.5k |
| 24 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $729 | $729 | $558 | 76% | 848 | $171 – $1.3k |
| 25 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 3 | $182 | $701 | $736 | 105% | 823 | $180 – $1.7k |
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