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
Grove City, OH
See all hospitals reporting APC 5571 →Price type
Grove City Methodist’s median price of $524 is 70% above the median hospital's median price ($309), higher than 74% 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, 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $163 | $163 | — | — | 106 | $163 – $163 |
| 2 | Humana medicare managed care plan other · outpatient | $164 | $164 | — | — | 136 | $164 – $164 |
| 3 | Medical Mutual medicare managed care plan other · outpatient | $164 | $164 | — | — | 29 | $164 – $164 |
| 4 | Devoted medicare managed care plan other · outpatient | $165 | $165 | — | — | 15 | $165 – $165 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $166 | $166 | — | — | 147 | $166 – $166 |
| 6 | Aetna medicare managed care plan other · outpatient | $167 | $167 | — | — | 104 | $167 – $167 |
| 7 | Molina medicare managed care plan other · outpatient | $168 | $168 | — | — | 13 | $168 – $168 |
| 8 | Caresource medicare managed care plan other · outpatient | $318 | $318 | — | — | 1–10 | $318 – $318 |
| 9 | UnitedHealthcare medicaid managed care plan other · outpatient | $497 | $497 | — | — | 17 | $497 – $497 |
| 10 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $502 | $502 | — | — | 30 | $502 – $502 |
| 11 | Humana medicaid managed care plan other · outpatient | $524 | $524 | — | — | 18 | $524 – $524 |
| 12 | Molina medicaid managed care plan other · outpatient | $524 | $524 | — | — | 45 | $524 – $524 |
| 13 | Caresource medicaid managed care plan other · outpatient | $588 | $588 | — | — | 98 | $588 – $588 |
| 14 | Blue Cross Blue Shield pathway exchange other · outpatient | $676 | $676 | — | — | 17 | $676 – $676 |
| 15 | Medical Mutual exchange other · outpatient | $676 | $676 | — | — | 1–10 | $676 – $676 |
| 16 | Cigna great west other commercial plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 17 | Medical Mutual all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 31 | $1.3k – $1.3k |
| 18 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.4k | $1.4k | — | — | 153 | $1.4k – $1.4k |
| 19 | Cigna ppo other · outpatient | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 20 | UnitedHealthcare options other commercial plan other · outpatient | $1.4k | $1.4k | — | — | 99 | $1.4k – $1.4k |
| 21 | Aetna all commercial plans other · outpatient | $1.4k | $1.4k | — | — | 50 | $1.4k – $1.4k |
| 22 | Cigna hmo other · outpatient | $1.5k | $1.5k | — | — | 19 | $1.5k – $1.5k |
| 23 | UnitedHealthcare all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 33 | $1.7k – $1.7k |
| 24 | Aetna asa other commercial plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
Last updated: Apr 1, 2026
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