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
Level 1 Imaging with Contrast
Delaware, OH
See all hospitals reporting APC 5571 →Price type
Grady Memorial Hospital’s median price of $560 is 81% above the median hospital's median price ($309), higher than 76% of the 736 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: 9 payers, 23 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 | Caresource medicare managed care plan other · outpatient | $43 | $43 | — | — | 1–10 | $43 – $43 |
| 2 | Humana medicare managed care plan other · outpatient | $169 | $169 | — | — | 135 | $169 – $169 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $170 | $170 | — | — | 91 | $170 – $170 |
| 4 | UnitedHealthcare medicare managed care plan other · outpatient | $170 | $170 | — | — | 108 | $170 – $170 |
| 5 | Molina medicare managed care plan other · outpatient | $174 | $174 | — | — | 1–10 | $174 – $174 |
| 6 | Aetna medicare managed care plan other · outpatient | $202 | $202 | — | — | 183 | $202 – $202 |
| 7 | Devoted medicare managed care plan other · outpatient | $303 | $303 | — | — | 14 | $303 – $303 |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $308 | $308 | — | — | 56 | $308 – $308 |
| 9 | Molina medicaid managed care plan other · outpatient | $510 | $510 | — | — | 23 | $510 – $510 |
| 10 | Caresource medicaid managed care plan other · outpatient | $535 | $535 | — | — | 48 | $535 – $535 |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $550 | $550 | — | — | 12 | $550 – $550 |
| 12 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $555 | $555 | — | — | 1–10 | $555 – $555 |
| 13 | Humana medicaid managed care plan other · outpatient | $580 | $580 | — | — | 13 | $580 – $580 |
| 14 | Medical Mutual exchange other · outpatient | $637 | $637 | — | — | 22 | $637 – $637 |
| 15 | Caresource exchange other · outpatient | $910 | $910 | — | — | 1–10 | $910 – $910 |
| 16 | Blue Cross Blue Shield pathway exchange other · outpatient | $979 | $979 | — | — | 40 | $979 – $979 |
| 17 | Cigna great west other commercial plan other · outpatient | $1.3k | $1.3k | — | — | 11 | $1.3k – $1.3k |
| 18 | Medical Mutual all commercial plans other · outpatient | $1.4k | $1.4k | — | — | 94 | $1.4k – $1.4k |
| 19 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.4k | $1.4k | — | — | 238 | $1.4k – $1.4k |
| 20 | Aetna all commercial plans other · outpatient | $1.4k | $1.4k | — | — | 88 | $1.4k – $1.4k |
| 21 | Cigna hmo other · outpatient | $1.6k | $1.6k | — | — | 38 | $1.6k – $1.6k |
| 22 | UnitedHealthcare all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 176 | $1.7k – $1.7k |
| 23 | UnitedHealthcare options ppo other · outpatient | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
Last updated: Apr 1, 2026
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