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
Delaware, OH
See all hospitals reporting APC 5572 →Price type
Grady Memorial Hospital’s median price of $554 is 20% above the median hospital's median price ($461), higher than 61% 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: 9 payers, 24 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Caresource medicare managed care plan other · outpatient | $269 | $269 | — | — | 1–10 | $269 – $269 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $334 | $334 | — | — | 148 | $334 – $334 |
| 3 | Humana medicare managed care plan other · outpatient | $334 | $334 | — | — | 168 | $334 – $334 |
| 4 | Aetna medicare managed care plan other · outpatient | $334 | $334 | — | — | 278 | $334 – $334 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $334 | $334 | — | — | 141 | $334 – $334 |
| 6 | Medical Mutual medicare managed care plan other · outpatient | $336 | $336 | — | — | 60 | $336 – $336 |
| 7 | Devoted medicare managed care plan other · outpatient | $340 | $340 | — | — | 13 | $340 – $340 |
| 8 | Molina medicare managed care plan other · outpatient | $348 | $348 | — | — | 11 | $348 – $348 |
| 9 | Molina medicaid managed care plan other · outpatient | $500 | $500 | — | — | 25 | $500 – $500 |
| 10 | Caresource medicaid managed care plan other · outpatient | $524 | $524 | — | — | 79 | $524 – $524 |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $539 | $539 | — | — | 22 | $539 – $539 |
| 12 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $544 | $544 | — | — | 12 | $544 – $544 |
| 13 | Humana medicaid managed care plan other · outpatient | $568 | $568 | — | — | 17 | $568 – $568 |
| 14 | Medical Mutual exchange other · outpatient | $786 | $786 | — | — | 38 | $786 – $786 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $1.1k | $1.1k | — | — | 65 | $1.1k – $1.1k |
| 16 | Caresource exchange other · outpatient | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 17 | Cigna great west other commercial plan other · outpatient | $1.8k | $1.8k | — | — | 24 | $1.8k – $1.8k |
| 18 | Medical Mutual all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 155 | $1.9k – $1.9k |
| 19 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.9k | $1.9k | — | — | 512 | $1.9k – $1.9k |
| 20 | Aetna all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 223 | $1.9k – $1.9k |
| 21 | Cigna hmo other · outpatient | $2.0k | $2.0k | — | — | 82 | $2.0k – $2.0k |
| 22 | Cigna ppo other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 23 | UnitedHealthcare all commercial plans other · outpatient | $2.1k | $2.1k | — | — | 406 | $2.1k – $2.1k |
| 24 | UnitedHealthcare options ppo other · outpatient | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
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.