APC 5572

Level 2 imaging with contrast dye at Altru Hospital Devils Lake

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 2 Imaging with Contrast

Devils Lake, ND

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Pricing by billing methodology

Price type

How this price compares nationally

Altru Hospital Devils Lake’s median price of $410 is 11% below the median hospital's median price ($461), higher than 42% of the 740 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5572 at Altru Hospital Devils Lake

Negotiated rates from the hospital’s own file: 8 payers, 18 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Ucare medicaid managed care plan – hmo facility · other · outpatient	$375	$375	—	—	19	$375 – $375
2	Aetna medicare managed care plan facility · other · outpatient	$375	$375	—	—	31	$375 – $375
3	Medica medicare managed care plan facility · other · outpatient	$377	$377	—	—	156	$377 – $377
4	UnitedHealthcare medicare managed care plan facility · other · outpatient	$380	$380	—	—	239	$380 – $380
5	Optum all commercial plans facility · other · outpatient	$382	$382	—	—	328	$382 – $382
6	Blue Cross Blue Shield medicare managed care plan facility · other · outpatient	$384	$384	$8	2%	475	$377 – $392
7	Humana medicare managed care plan facility · other · outpatient	$385	$385	—	—	116	$385 – $385
8	Ucare medicare managed care plan facility · other · outpatient	$385	$385	—	—	43	$385 – $385
9	Ucare all commercial plans facility · other · outpatient	$429	$429	—	—	21	$429 – $429
10	Aetna all commercial plans facility · other · outpatient	$438	$438	—	—	27	$438 – $438
11	Blue Cross Blue Shield medicaid managed care plan facility · other · outpatient	$461	$461	$301	65%	240–249	$160 – $763
12	Sanford Health Plan all commercial plans facility · other · outpatient	$557	$557	—	—	446	$557 – $557
13	Blue Cross Blue Shield all commercial plans facility · other · outpatient	$731	$600	$259	43%	1,915	$239 – $831
14	UnitedHealthcare all commercial plans facility · other · outpatient	$693	$693	—	—	82	$693 – $693
15	UnitedHealthcare medicaid managed care plan – hmo facility · other · outpatient	$693	$693	—	—	23	$693 – $693
16	Medica medicaid managed care plan – hmo facility · other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
17	Medica medicaid managed care plan facility · other · outpatient	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k
18	Medica all commercial plans facility · other · outpatient	$1.8k	$1.8k	—	—	196	$1.8k – $1.8k

Last updated: Mar 1, 2026

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