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
RF Upper GI w or wo KUB Gastrografin
Brandon, MS
See all hospitals reporting APC 5571 →Price type
Brandon HMA LLC’s median price of $170 is 44% below the median hospital's median price ($307), higher than 4% of the 733 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: 8 payers, 9 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 | Humana node humana mcr adv facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 2 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 3 | Optum node united optum va ccn facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 4 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 5 | Molina node molina mcr adv facility · fee schedule · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 6 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $172 | $172 | — | — | — | $172 – $172 |
| 7 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $173 | $173 | — | — | — | $173 – $173 |
| 8 | Molina molina exchange facility · fee schedule · outpatient | $281 | $281 | — | — | — | $281 – $281 |
| 9 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $733 | $733 | — | — | — | $733 – $733 |
Last updated: Apr 1, 2026
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