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
Grove City, OH
See all hospitals reporting APC 5572 →Price type
Grove City Methodist’s median price of $514 is 12% above the median hospital's median price ($461), higher than 58% 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, 26 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 | Devoted medicare managed care plan other · outpatient | $131 | $131 | — | — | 18 | $131 – $131 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $289 | $289 | — | — | 114 | $289 – $289 |
| 3 | Humana medicare managed care plan other · outpatient | $323 | $323 | — | — | 172 | $323 – $323 |
| 4 | Aetna medicare managed care plan other · outpatient | $325 | $325 | — | — | 193 | $325 – $325 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $327 | $327 | — | — | 135 | $327 – $327 |
| 6 | Medical Mutual medicare managed care plan other · outpatient | $327 | $327 | — | — | 26 | $327 – $327 |
| 7 | Caresource medicare managed care plan other · outpatient | $330 | $330 | — | — | 1–10 | $330 – $330 |
| 8 | Molina medicare managed care plan other · outpatient | $338 | $338 | — | — | 27 | $338 – $338 |
| 9 | Cigna ppo other · outpatient | $398 | $398 | — | — | 1–10 | $398 – $398 |
| 10 | UnitedHealthcare medicaid managed care plan other · outpatient | $488 | $488 | — | — | 46 | $488 – $488 |
| 11 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $492 | $492 | — | — | 45 | $492 – $492 |
| 12 | Humana medicaid managed care plan other · outpatient | $514 | $514 | — | — | 30 | $514 – $514 |
| 13 | Molina medicaid managed care plan other · outpatient | $514 | $514 | — | — | 45 | $514 – $514 |
| 14 | Caresource medicaid managed care plan other · outpatient | $576 | $576 | — | — | 130 | $576 – $576 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $855 | $855 | — | — | 35 | $855 – $855 |
| 16 | Medical Mutual exchange other · outpatient | $967 | $967 | — | — | 13 | $967 – $967 |
| 17 | Blue Cross Blue Shield anthem traditional other · outpatient | $994 | $994 | — | — | 1–10 | $994 – $994 |
| 18 | Cigna hmo other · outpatient | $1.8k | $1.8k | — | — | 32 | $1.8k – $1.8k |
| 19 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $2.0k | $2.0k | — | — | 274 | $2.0k – $2.0k |
| 20 | Aetna all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 106 | $2.0k – $2.0k |
| 21 | Aetna asa other commercial plan other · outpatient | $2.0k | $2.0k | — | — | 27 | $2.0k – $2.0k |
| 22 | Medical Mutual all commercial plans other · outpatient | $2.0k | $2.0k | — | — | 97 | $2.0k – $2.0k |
| 23 | UnitedHealthcare all commercial plans other · outpatient | $2.1k | $2.1k | — | — | 78 | $2.1k – $2.1k |
| 24 | UnitedHealthcare options other commercial plan other · outpatient | $2.2k | $2.2k | — | — | 190 | $2.2k – $2.2k |
| 25 | Cigna great west other commercial plan other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
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.