APC 5572
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 2 Imaging with Contrast
Low
$236
Average
$1.1k
Median
$572
High
$14.7k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
692 hospitals; the 90th percentile is 7.6× 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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736 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 | The Methodist Hospital Houston, TX other · outpatient | 3 | $362 | $984 | $885 | 90% | 4,559 | $355 – $2.2k |
| 2 | Stanford Health Care Stanford, CA other · outpatient | 1 | $9.0k | $9.0k | — | — | 3,420 | $9.0k – $9.0k |
| 3 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 6 | $5.7k | $4.3k | $2.4k | 56% | 3,365–3,374 | $616 – $6.8k |
| 4 | Ucsf Medical Center San Francisco, CA other · outpatient | 6 | $5.7k | $4.3k | $2.4k | 56% | 3,365–3,374 | $616 – $6.8k |
| 5 | University of Washington Medical Center Seattle, WA other · outpatient | 5 | $687 | $880 | $530 | 60% | 3,157 | $343 – $1.7k |
| 6 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $2.1k | $1.7k | $943 | 57% | 2,931 | $366 – $2.6k |
| 7 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 4 | $952 | $820 | $271 | 33% | 2,710 | $353 – $1.0k |
| 8 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $954 | $836 | $286 | 34% | 2,433–2,442 | $368 – $1.1k |
| 9 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $460 | $442 | $83 | 19% | 2,362 | $332 – $534 |
| 10 | Grant Medical Center Columbus, OH other · outpatient | 4 | $1.3k | $1.3k | $888 | 68% | 2,279 | $337 – $2.2k |
| 11 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $521 | $521 | $160 | 31% | 2,256 | $361 – $681 |
| 12 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 4 | $955 | $862 | $309 | 36% | 2,221 | $354 – $1.2k |
| 13 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $1.0k | $1.0k | $696 | 68% | 2,196 | $327 – $1.7k |
| 14 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 3 | $362 | $921 | $797 | 86% | 2,052 | $354 – $2.0k |
| 15 | MUSC Medical Center Charleston, SC facility · other · outpatient | 4 | $459 | $1.1k | $1.2k | 106% | 2,025–2,034 | $365 – $3.1k |
| 16 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 3 | $362 | $924 | $799 | 86% | 1,903 | $356 – $2.1k |
| 17 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $1.3k | $1.3k | $896 | 69% | 1,894 | $337 – $2.2k |
| 18 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $869 | $1.4k | $1.6k | 117% | 1,853–1,862 | $272 – $4.6k |
| 19 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 4 | $339 | $1.7k | $2.5k | 145% | 1,751 | $168 – $6.2k |
| 20 | SAINT JOSEPHS HOSPITAL OF ATLANTA INC Atlanta, GA facility · other · outpatient | 4 | $955 | $804 | $260 | 32% | 1,668–1,677 | $353 – $955 |
| 21 | Rhode Island Hospital Providence, RI facility · other · outpatient | 4 | $624 | $1.2k | $1.1k | 94% | 1,658 | $383 – $3.0k |
| 22 | SSM-SLUH, Inc. Saint Louis, MO other · outpatient | 6 | $422 | $421 | $78 | 18% | 1,655 | $329 – $544 |
| 23 | Methodist West Houston Hospital Houston, TX other · outpatient | 3 | $362 | $956 | $844 | 88% | 1,517 | $357 – $2.1k |
| 24 | Summa Health System Wadsworth, OH other · outpatient | 4 | $496 | $641 | $358 | 56% | 1,502–1,511 | $325 – $1.2k |
| 25 | Edward Hospital Plainfield, IL other · outpatient | 3 | $902 | $789 | $309 | 39% | 1,390 | $366 – $1.1k |
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