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
Circleville, OH
See all hospitals reporting APC 5573 →Price type
Berger Hospital’s median price of $743 is 15% below the median hospital's median price ($872), higher than 6% 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, 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 | Molina medicaid managed care plan other · outpatient | $417 | $417 | — | — | 1–10 | $417 – $417 |
| 2 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $440 | $440 | — | — | 1–10 | $440 – $440 |
| 3 | Molina medicare managed care plan other · outpatient | $590 | $590 | — | — | 1–10 | $590 – $590 |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $590 | $590 | — | — | 18 | $590 – $590 |
| 5 | Caresource medicaid managed care plan other · outpatient | $662 | $662 | — | — | 13 | $662 – $662 |
| 6 | Humana medicare managed care plan other · outpatient | $714 | $714 | — | — | 11 | $714 – $714 |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $738 | $738 | — | — | 28 | $738 – $738 |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $738 | $738 | — | — | 1–10 | $738 – $738 |
| 9 | Aetna medicare managed care plan other · outpatient | $739 | $739 | — | — | 15 | $739 – $739 |
| 10 | Humana medicaid managed care plan other · outpatient | $756 | $756 | — | — | 1–10 | $756 – $756 |
| 11 | Caresource medicare managed care plan other · outpatient | $866 | $866 | — | — | 1–10 | $866 – $866 |
| 12 | Blue Cross Blue Shield pathway exchange other · outpatient | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 13 | Aetna all commercial plans other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 14 | UnitedHealthcare all commercial plans other · outpatient | $1.8k | $1.8k | — | — | 15 | $1.8k – $1.8k |
| 15 | Cigna hmo other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 16 | Medical Mutual all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 17 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $2.2k | $2.2k | — | — | 45 | $2.2k – $2.2k |
| 18 | Medical Mutual exchange other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
Last updated: Apr 1, 2026
See Level 3 imaging scan using contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.