APC 5571

Imaging scan with contrast dye, basic level at Dublin Methodist Hospital

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

Dublin, OH

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Pricing by billing methodology

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How this price compares nationally

Dublin Methodist Hospital’s median price of $580 is 89% above the median hospital's median price ($307), higher than 77% of the 733 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5571 at Dublin Methodist Hospital

Negotiated rates from the hospital’s own file: 9 payers, 26 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	Medical Mutual medicare managed care plan other · outpatient	$165	$165	—	—	58	$165 – $165
2	Aetna medicare managed care plan other · outpatient	$166	$166	—	—	360	$166 – $166
3	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$166	$166	—	—	150	$166 – $166
4	Humana medicare managed care plan other · outpatient	$166	$166	—	—	183	$166 – $166
5	UnitedHealthcare medicare managed care plan other · outpatient	$168	$168	—	—	151	$168 – $168
6	Caresource medicare managed care plan other · outpatient	$169	$169	—	—	1–10	$169 – $169
7	Devoted medicare managed care plan other · outpatient	$170	$170	—	—	14	$170 – $170
8	Molina medicare managed care plan other · outpatient	$215	$215	—	—	1–10	$215 – $215
9	UnitedHealthcare medicaid managed care plan other · outpatient	$491	$491	—	—	1–10	$491 – $491
10	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$495	$495	—	—	15	$495 – $495
11	Humana medicaid managed care plan other · outpatient	$517	$517	—	—	22	$517 – $517
12	Molina medicaid managed care plan other · outpatient	$517	$517	—	—	21	$517 – $517
13	Caresource medicaid managed care plan other · outpatient	$580	$580	—	—	52	$580 – $580
14	Blue Cross Blue Shield pathway exchange other · outpatient	$632	$632	—	—	58	$632 – $632
15	Medical Mutual exchange other · outpatient	$1.2k	$1.2k	—	—	34	$1.2k – $1.2k
16	Aetna asa other commercial plan other · outpatient	$1.4k	$1.4k	—	—	34	$1.4k – $1.4k
17	Cigna hmo other · outpatient	$1.4k	$1.4k	—	—	87	$1.4k – $1.4k
18	Cigna ppo other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
19	Medical Mutual all commercial plans other · outpatient	$1.6k	$1.6k	—	—	152	$1.6k – $1.6k
20	Aetna all commercial plans other · outpatient	$1.6k	$1.6k	—	—	152	$1.6k – $1.6k
21	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$1.6k	$1.6k	—	—	468	$1.6k – $1.6k
22	UnitedHealthcare all commercial plans other · outpatient	$1.6k	$1.6k	—	—	151	$1.6k – $1.6k
23	UnitedHealthcare options other commercial plan other · outpatient	$1.7k	$1.7k	—	—	272	$1.7k – $1.7k
24	Caresource exchange other · outpatient	$1.8k	$1.8k	—	—	1–10	$1.8k – $1.8k
25	Cigna great west other commercial plan other · outpatient	$3.0k	$3.0k	—	—	15	$3.0k – $3.0k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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