APC 5573
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 3 Imaging with Contrast
Grove City, OH
See all hospitals reporting APC 5573 →Price type
Grove City Methodist’s median price of $721 is 17% below the median hospital's median price ($872), higher than 4% of the 687 hospitals reporting APC 5573. 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 medicaid managed care plan other · outpatient | $450 | $450 | — | — | 12 | $450 – $450 |
| 2 | Molina medicaid managed care plan other · outpatient | $471 | $471 | — | — | 30 | $471 – $471 |
| 3 | Caresource medicaid managed care plan other · outpatient | $527 | $527 | — | — | 96 | $527 – $527 |
| 4 | UnitedHealthcare medicaid managed care plan other · outpatient | $583 | $583 | — | — | 11 | $583 – $583 |
| 5 | Molina medicare managed care plan other · outpatient | $595 | $595 | — | — | 25 | $595 – $595 |
| 6 | Humana medicaid managed care plan other · outpatient | $601 | $601 | — | — | 17 | $601 – $601 |
| 7 | Devoted medicare managed care plan other · outpatient | $712 | $712 | — | — | 15 | $712 – $712 |
| 8 | Medical Mutual medicare managed care plan other · outpatient | $716 | $716 | — | — | 34 | $716 – $716 |
| 9 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $717 | $717 | — | — | 98 | $717 – $717 |
| 10 | Aetna medicare managed care plan other · outpatient | $718 | $718 | — | — | 153 | $718 – $718 |
| 11 | Humana medicare managed care plan other · outpatient | $718 | $718 | — | — | 152 | $718 – $718 |
| 12 | UnitedHealthcare medicare managed care plan other · outpatient | $721 | $721 | — | — | 113 | $721 – $721 |
| 13 | Blue Cross Blue Shield pathway exchange other · outpatient | $759 | $759 | — | — | 21 | $759 – $759 |
| 14 | Medical Mutual exchange other · outpatient | $891 | $891 | — | — | 1–10 | $891 – $891 |
| 15 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.4k | $1.4k | — | — | 169 | $1.4k – $1.4k |
| 16 | Aetna asa other commercial plan other · outpatient | $1.6k | $1.6k | — | — | 12 | $1.6k – $1.6k |
| 17 | Medical Mutual all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 48 | $1.7k – $1.7k |
| 18 | UnitedHealthcare options other commercial plan other · outpatient | $1.7k | $1.7k | — | — | 113 | $1.7k – $1.7k |
| 19 | UnitedHealthcare all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 33 | $1.7k – $1.7k |
| 20 | Aetna all commercial plans other · outpatient | $1.7k | $1.7k | — | — | 44 | $1.7k – $1.7k |
| 21 | Cigna hmo other · outpatient | $1.8k | $1.8k | — | — | 12 | $1.8k – $1.8k |
| 22 | Cigna great west other commercial plan other · outpatient | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 23 | Medical Mutual traditional other · outpatient | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 24 | Blue Cross Blue Shield anthem traditional other · outpatient | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
Last updated: Apr 1, 2026
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