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
Circleville, OH
See all hospitals reporting APC 5572 →Price type
Berger Hospital’s median price of $477 is 4% above the median hospital's median price ($461), higher than 52% of the 740 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: 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 | $267 | $267 | — | — | 11 | $267 – $267 |
| 2 | Humana medicare managed care plan other · outpatient | $275 | $275 | — | — | 58 | $275 – $275 |
| 3 | Caresource medicare managed care plan other · outpatient | $287 | $287 | — | — | 1–10 | $287 – $287 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $334 | $334 | — | — | 109 | $334 – $334 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $334 | $334 | — | — | 71 | $334 – $334 |
| 6 | Aetna medicare managed care plan other · outpatient | $334 | $334 | — | — | 78 | $334 – $334 |
| 7 | Medical Mutual medicare managed care plan other · outpatient | $334 | $334 | — | — | 20 | $334 – $334 |
| 8 | Caresource exchange other · outpatient | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 9 | Devoted medicare managed care plan other · outpatient | $340 | $340 | — | — | 1–10 | $340 – $340 |
| 10 | Caresource medicaid managed care plan other · outpatient | $440 | $440 | — | — | 56 | $440 – $440 |
| 11 | Molina medicaid managed care plan other · outpatient | $455 | $455 | — | — | 31 | $455 – $455 |
| 12 | UnitedHealthcare medicaid managed care plan other · outpatient | $477 | $477 | — | — | 13 | $477 – $477 |
| 13 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $481 | $481 | — | — | 11 | $481 – $481 |
| 14 | Humana medicaid managed care plan other · outpatient | $503 | $503 | — | — | 14 | $503 – $503 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $1.4k | $1.4k | — | — | 12 | $1.4k – $1.4k |
| 16 | Medical Mutual exchange other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 17 | Aetna all commercial plans other · outpatient | $1.8k | $1.8k | — | — | 36 | $1.8k – $1.8k |
| 18 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $2.6k | $2.6k | — | — | 158 | $2.6k – $2.6k |
| 19 | Cigna hmo other · outpatient | $2.7k | $2.7k | — | — | 12 | $2.7k – $2.7k |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $2.8k | $2.8k | — | — | 76 | $2.8k – $2.8k |
| 21 | Medical Mutual all commercial plans other · outpatient | $3.0k | $3.0k | — | — | 21 | $3.0k – $3.0k |
| 22 | Cigna great west other commercial plan other · outpatient | $3.3k | $3.3k | — | — | 1–10 | $3.3k – $3.3k |
Last updated: Apr 1, 2026
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