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
Dublin, OH
See all hospitals reporting APC 5572 →Price type
Dublin Methodist Hospital’s median price of $507 is 10% above the median hospital's median price ($459), higher than 57% of the 737 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: 10 payers, 27 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 | Devoted medicare managed care plan other · outpatient | $140 | $140 | — | — | 1–10 | $140 – $140 |
| 2 | Caresource medicare managed care plan other · outpatient | $309 | $309 | — | — | 1–10 | $309 – $309 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $334 | $334 | — | — | 99 | $334 – $334 |
| 4 | Humana medicare managed care plan other · outpatient | $334 | $334 | — | — | 150 | $334 – $334 |
| 5 | Aetna medicare managed care plan other · outpatient | $334 | $334 | — | — | 345 | $334 – $334 |
| 6 | Medical Mutual medicare managed care plan other · outpatient | $336 | $336 | — | — | 34 | $336 – $336 |
| 7 | UnitedHealthcare medicare managed care plan other · outpatient | $337 | $337 | — | — | 144 | $337 – $337 |
| 8 | Molina medicare managed care plan other · outpatient | $348 | $348 | — | — | 1–10 | $348 – $348 |
| 9 | UnitedHealthcare medicaid managed care plan other · outpatient | $481 | $481 | — | — | 20 | $481 – $481 |
| 10 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $485 | $485 | — | — | 18 | $485 – $485 |
| 11 | First Health all commercial plans other · outpatient | $500 | $500 | — | — | 1–10 | $500 – $500 |
| 12 | Humana medicaid managed care plan other · outpatient | $507 | $507 | — | — | 12 | $507 – $507 |
| 13 | Molina medicaid managed care plan other · outpatient | $507 | $507 | — | — | 29 | $507 – $507 |
| 14 | Caresource medicaid managed care plan other · outpatient | $569 | $569 | — | — | 71 | $569 – $569 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $845 | $845 | — | — | 65 | $845 – $845 |
| 16 | Caresource exchange other · outpatient | $932 | $932 | — | — | 1–10 | $932 – $932 |
| 17 | Medical Mutual exchange other · outpatient | $979 | $979 | — | — | 42 | $979 – $979 |
| 18 | Cigna hmo other · outpatient | $1.8k | $1.8k | — | — | 85 | $1.8k – $1.8k |
| 19 | Medical Mutual all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 157 | $2.0k – $2.0k |
| 20 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $2.0k | $2.0k | — | — | 587 | $2.0k – $2.0k |
| 21 | Aetna asa other commercial plan other · outpatient | $2.0k | $2.0k | — | — | 65 | $2.0k – $2.0k |
| 22 | Aetna all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 185 | $2.0k – $2.0k |
| 23 | UnitedHealthcare options other commercial plan other · outpatient | $2.2k | $2.2k | — | — | 363 | $2.2k – $2.2k |
| 24 | UnitedHealthcare all commercial plans other · outpatient | $2.2k | $2.2k | — | — | 198 | $2.2k – $2.2k |
| 25 | Blue Cross Blue Shield anthem traditional other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
Last updated: Apr 1, 2026
See Level 2 imaging with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.