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
Naperville, IL
See all hospitals reporting APC 5572 →Price type
Edward Hospital’s median price of $366 is 20% below the median hospital's median price ($461), higher than 22% of the 740 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: 8 payers, 21 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 hmo other · outpatient | $220 | $220 | — | — | 220 | $220 – $220 |
| 2 | Blue Cross Blue Shield mmai medicare managed care plan other · outpatient | $339 | $339 | — | — | 28 | $339 – $339 |
| 3 | Blue Cross Blue Shield medicaid managed care plan other · outpatient | $343 | $343 | — | — | 642 | $343 – $343 |
| 4 | Molina medicaid managed care plan other · outpatient | $346 | $346 | — | — | 19 | $346 – $346 |
| 5 | Humana mmai medicare managed care plan other · outpatient | $347 | $347 | — | — | 28 | $347 – $347 |
| 6 | Molina medicare managed care plan other · outpatient | $350 | $350 | — | — | 1–10 | $350 – $350 |
| 7 | Aetna medicaid managed care plan other · outpatient | $353 | $353 | — | — | 36 | $353 – $353 |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $366 | $366 | — | — | 428 | $366 – $366 |
| 9 | Aetna medicare managed care plan other · outpatient | $367 | $367 | — | — | 555 | $367 – $367 |
| 10 | Cigna medicare managed care plan other · outpatient | $367 | $367 | — | — | 26 | $367 – $367 |
| 11 | Humana medicare managed care plan other · outpatient | $368 | $368 | — | — | 760 | $368 – $368 |
| 12 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $369 | $369 | — | — | 167 | $369 – $369 |
| 13 | Devoted medicare managed care plan other · outpatient | $539 | $539 | — | — | 1–10 | $539 – $539 |
| 14 | WellCare medicare managed care plan other · outpatient | $586 | $586 | — | — | 1–10 | $586 – $586 |
| 15 | UnitedHealthcare all commercial plans other · outpatient | $902 | $902 | — | — | 820 | $902 – $902 |
| 16 | UnitedHealthcare core/navigate other commercial plan other · outpatient | $1.1k | $1.1k | — | — | 142 | $1.1k – $1.1k |
| 17 | Aetna all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 575 | $1.3k – $1.3k |
| 18 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | 326 | $2.8k – $2.8k |
| 19 | Blue Cross Blue Shield hpn other commercial plan percent of total billed charges · outpatientfrom % of charges | $9.1k | $9.1k | — | — | 1–10 | $9.1k – $9.1k |
| 20 | Blue Cross Blue Shield ppo other · outpatient | $10.0k | $10.0k | — | — | 3,410 | $10.0k – $10.0k |
| 21 | Blue Cross Blue Shield choice other commercial plan other · outpatient | $10.2k | $10.2k | — | — | 617 | $10.2k – $10.2k |
Last updated: Apr 1, 2026
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