APC 5571
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 1 Imaging with Contrast
Circleville, OH
See all hospitals reporting APC 5571 →Price type
Berger Hospital’s median price of $504 is 63% above the median hospital's median price ($309), higher than 72% of the 736 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 22 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 | Molina medicare managed care plan other · outpatient | $167 | $167 | — | — | 15 | $167 – $167 |
| 2 | UnitedHealthcare medicare managed care plan other · outpatient | $167 | $167 | — | — | 60 | $167 – $167 |
| 3 | Devoted medicare managed care plan other · outpatient | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 4 | Humana medicare managed care plan other · outpatient | $167 | $167 | — | — | 64 | $167 – $167 |
| 5 | Medical Mutual medicare managed care plan other · outpatient | $168 | $168 | — | — | 26 | $168 – $168 |
| 6 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $170 | $170 | — | — | 100 | $170 – $170 |
| 7 | Aetna medicare managed care plan other · outpatient | $232 | $232 | — | — | 87 | $232 – $232 |
| 8 | Caresource medicare managed care plan other · outpatient | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 9 | Caresource medicaid managed care plan other · outpatient | $449 | $449 | — | — | 33 | $449 – $449 |
| 10 | Molina medicaid managed care plan other · outpatient | $464 | $464 | — | — | 29 | $464 – $464 |
| 11 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $491 | $491 | — | — | 1–10 | $491 – $491 |
| 12 | Humana medicaid managed care plan other · outpatient | $513 | $513 | — | — | 1–10 | $513 – $513 |
| 13 | UnitedHealthcare medicaid managed care plan other · outpatient | $560 | $560 | — | — | 1–10 | $560 – $560 |
| 14 | Cigna hmo other · outpatient | $850 | $850 | — | — | 1–10 | $850 – $850 |
| 15 | Medical Mutual exchange other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 16 | Aetna all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 32 | $1.9k – $1.9k |
| 17 | Medical Mutual all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 21 | $1.9k – $1.9k |
| 18 | Blue Cross Blue Shield traditional other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 19 | UnitedHealthcare all commercial plans other · outpatient | $2.2k | $2.2k | — | — | 57 | $2.2k – $2.2k |
| 20 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $2.3k | $2.3k | — | — | 120 | $2.3k – $2.3k |
| 21 | Blue Cross Blue Shield pathway exchange other · outpatient | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 22 | Cigna great west other commercial plan other · outpatient | $4.7k | $4.7k | — | — | 1–10 | $4.7k – $4.7k |
Last updated: Apr 1, 2026
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