APC 5571

Imaging scan with contrast dye, basic level at Covenant Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Imaging with Contrast

Lubbock, TX

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Pricing by billing methodology

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How this price compares nationally

Covenant Medical Center’s median price of $348 is 13% above the median hospital's median price ($309), higher than 54% of the 736 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5571 at Covenant Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 19 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	Blue Cross Blue Shield medicare managed care plan other · outpatient	$164	$164	—	—	1–10	$164 – $164
2	Aetna medicare managed care plan other · outpatient	$167	$167	—	—	53	$167 – $167
3	Blue Cross Blue Shield va pccc government other · outpatient	$167	$167	—	—	51	$167 – $167
4	Humana medicare managed care plan other · outpatient	$167	$167	—	—	116	$167 – $167
5	UnitedHealthcare medicare managed care plan other · outpatient	$173	$173	—	—	233	$173 – $173
6	UnitedHealthcare medicaid managed care plan other · outpatient	$177	$177	—	—	1–10	$177 – $177
7	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$277	$277	—	—	13	$277 – $277
8	Aetna preferred other commercial plan other · outpatient	$347	$347	—	—	1–10	$347 – $347
9	First Health coventry all commercial plans other · outpatient	$371	$371	—	—	1–10	$371 – $371
10	Aetna all commercial plans other · outpatient	$508	$508	—	—	19	$508 – $508
11	UnitedHealthcare all commercial plans other · outpatient	$833	$833	—	—	63	$833 – $833
12	Blue Cross Blue Shield ppo other · outpatient	$837	$837	—	—	281	$837 – $837
13	Blue Cross Blue Shield ers blue essentials for healthselect members hmo other · outpatient	$853	$853	—	—	84	$853 – $853
14	Blue Cross Blue Shield blue essentials hmo other · outpatient	$863	$863	—	—	22	$863 – $863
15	UnitedHealthcare exchange other · outpatient	$893	$893	—	—	76	$893 – $893
16	Cigna new buisness other commercial plan other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
17	Cigna oap other · outpatient	$1.1k	$1.1k	—	—	13	$1.1k – $1.1k
18	Phcs all commercial plans other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
19	Blue Cross Blue Shield par traditional other · outpatient	$6.5k	$6.5k	—	—	1–10	$6.5k – $6.5k

Last updated: Apr 1, 2026

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