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
Tomahawk, WI
See all hospitals reporting APC 5572 →Price type
Aspirus Tomahawk Hospital’s median price of $1.9k is 320% above the median hospital's median price ($459), higher than 90% of the 737 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 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 | UnitedHealthcare united healthcare wisconsin medicaid plans other · outpatient | $154 | $154 | — | — | 1–10 | $154 – $154 |
| 2 | Anthem anthem wisconsin medicaid plans other · outpatient | $750 | $750 | — | — | 1–10 | $750 – $750 |
| 3 | Anthem anthem mediblue dual hmo snp other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 4 | UnitedHealthcare va community care network other · outpatient | $1.8k | $1.8k | — | — | 13 | $1.8k – $1.8k |
| 5 | Anthem anthem mediblue access ppo other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 6 | Anthem anthem mediblue plus hmo other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 7 | Anthem anthem medicare advantage plans other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 8 | UnitedHealthcare united healthcare medicare advantage plans other · outpatient | $1.9k | $1.9k | — | — | 31 | $1.9k – $1.9k |
| 9 | Humana humana medicare ppo/pos/hmo network plans other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 10 | Aetna medicare advantage esa other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 11 | Anthem anthem blue access ppo other · outpatient | $3.9k | $3.9k | — | — | 1–10 | $3.9k – $3.9k |
| 12 | Anthem anthem blue preferred pos other · outpatient | $4.2k | $4.2k | — | — | 12 | $4.2k – $4.2k |
| 13 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks other · outpatient | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
Last updated: Apr 1, 2026
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