APC 5573
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 3 Imaging with Contrast
Low
$380
Average
$1.5k
Median
$1.2k
High
$4.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
42 payers; the 90th percentile is 3.7× 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 | 190 | $2.1k | $2.8k | $2.8k | 100% | 15,977–19,127 | $109 – $35.3k |
| 2 | UnitedHealthcare other · outpatient · +8 other terms | 206 | $1.4k | $1.8k | $1.6k | 88% | 12,161–14,438 | $60 – $10.7k |
| 3 | Aetna other · outpatient · +8 other terms | 171 | $1.6k | $2.3k | $2.3k | 101% | 7,143–8,961 | $8 – $21.1k |
| 4 | Excellus facility · other · outpatient · +1 other terms | 7 | $1.2k | $1.3k | $1.2k | 92% | 4,431–4,485 | $284 – $4.1k |
| 5 | Cigna other · outpatient · +6 other terms | 120 | $2.3k | $3.2k | $2.9k | 89% | 2,303–3,545 | $448 – $24.4k |
| 6 | Medical Mutual other · outpatient · +3 other terms | 21 | $1.6k | $1.6k | $1.1k | 71% | 936–1,251 | $295 – $8.2k |
| 7 | Healthpartners other · outpatient · +1 other terms | 6 | $2.8k | $4.2k | $3.4k | 81% | 830–947 | $886 – $12.6k |
| 8 | Ambetter facility · other · outpatient · +5 other terms | 24 | $1.3k | $1.5k | $643 | 42% | 420–546 | $753 – $3.6k |
| 9 | Caresource facility · other · outpatient · +3 other terms | 27 | $1.0k | $1.1k | $615 | 54% | 353–650 | $218 – $3.6k |
| 10 | Bcbs Mn other · outpatient · +1 other terms | 1 | $997 | $997 | $410 | 41% | 207–216 | $524 – $1.6k |
| 11 | Highmark facility · other · outpatient · +2 other terms | 8 | $1.3k | $1.3k | $507 | 40% | 169–259 | $309 – $2.8k |
| 12 | Kaiser other · outpatient · +5 other terms | 17 | $2.9k | $5.3k | $6.1k | 115% | 109–307 | $128 – $26.2k |
| 13 | MultiPlan other · outpatient · +3 other terms | 10 | $1.6k | $2.7k | $2.8k | 105% | 44–116 | $47 – $10.3k |
| 14 | Bcbs Mi other · outpatient · +1 other terms | 3 | $1.4k | $1.3k | $163 | 12% | 43–61 | $1.1k – $1.6k |
| 15 | Clover facility · other · outpatient · +4 other terms | 17 | $854 | $1.0k | $1.2k | 116% | 32–131 | $581 – $12.1k |
| 16 | Healthcare Highways other · outpatient | 3 | $2.5k | $2.9k | $699 | 24% | 18–36 | $2.3k – $3.9k |
| 17 | First Health other · outpatient · +3 other terms | 15 | $2.6k | $5.0k | $5.8k | 116% | 15–150 | $80 – $21.1k |
| 18 | Tricare other · outpatient · +3 other terms | 10 | $771 | $1.0k | $587 | 57% | 10–100 | $630 – $2.7k |
| 19 | Phcs other · outpatient · +2 other terms | 3 | $2.2k | $1.9k | $683 | 36% | 3–30 | $980 – $2.6k |
| 20 | Ucare facility · other · outpatient · +2 other terms | 3 | $831 | $794 | $52 | 6% | 3–30 | $721 – $831 |
| 21 | Medicaid other · outpatient · +1 other terms | 2 | $364 | $364 | $4 | 1% | 2–20 | $360 – $368 |
| 22 | Carefirst facility · other · outpatient | 1 | $969 | $969 | — | — | 1–10 | $969 – $969 |
| 23 | Humana fee schedule · outpatient · +7 other terms | 162 | $789 | $827 | $234 | 28% | — | $688 – $3.3k |
| 24 | WellCare fee schedule · outpatient · +5 other terms | 132 | $811 | $814 | $38 | 5% | — | $702 – $993 |
| 25 | Devoted fee schedule · outpatient · +4 other terms | 122 | $787 | $788 | $22 | 3% | — | $688 – $827 |
← Hospitals reporting APC 5573 · Snapshot 20261111T120946Z-9134e7f7