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
Devils Lake, ND
See all hospitals reporting APC 5573 →Price type
Altru Hospital Devils Lake’s median price of $960 is 10% above the median hospital's median price ($872), higher than 57% of the 687 hospitals reporting APC 5573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 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 | Blue Cross Blue Shield medicaid managed care plan facility · other · outpatient | $618 | $618 | $232 | 37% | 23–32 | $386 – $849 |
| 2 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $825 | $825 | — | — | 28 | $825 – $825 |
| 3 | Aetna medicare managed care plan facility · other · outpatient | $829 | $829 | — | — | 1–10 | $829 – $829 |
| 4 | Medica medicare managed care plan facility · other · outpatient | $830 | $830 | — | — | 21 | $830 – $830 |
| 5 | Ucare medicare managed care plan facility · other · outpatient | $831 | $831 | — | — | 1–10 | $831 – $831 |
| 6 | Optum all commercial plans facility · other · outpatient | $846 | $846 | — | — | 35 | $846 – $846 |
| 7 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $903 | $903 | $40 | 4% | 37–46 | $863 – $942 |
| 8 | Humana medicare managed care plan facility · other · outpatient | $978 | $978 | — | — | 1–10 | $978 – $978 |
| 9 | Blue Cross Blue Shield all commercial plans facility · other · outpatient | $1.4k | $1.1k | $518 | 46% | 236 | $386 – $1.5k |
| 10 | Medica all commercial plans facility · other · outpatient | $1.2k | $1.2k | — | — | 14 | $1.2k – $1.2k |
| 11 | Sanford Health Plan all commercial plans facility · other · outpatient | $1.2k | $1.2k | — | — | 46 | $1.2k – $1.2k |
| 12 | UnitedHealthcare medicaid managed care plan – hmo facility · other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 13 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 14 | Aetna all commercial plans facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 15 | Medica medicaid managed care plan – hmo facility · other · outpatient | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
Last updated: Mar 1, 2026
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