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
Perry, GA
See all hospitals reporting APC 5572 →Price type
Houston Hospitals Inc’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: 5 payers, 10 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 | Humana medicare managed care plan facility · other · outpatient | $161 | $161 | — | — | 1–10 | $161 – $161 |
| 2 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $318 | $318 | — | — | 1–10 | $318 – $318 |
| 3 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $319 | $319 | — | — | 1–10 | $319 – $319 |
| 4 | Aetna medicare managed care plan facility · other · outpatient | $320 | $320 | — | — | 1–10 | $320 – $320 |
| 5 | Ambetter peach state exchange facility · other · outpatient | $443 | $443 | — | — | 1–10 | $443 – $443 |
| 6 | UnitedHealthcare all commercial plans facility · other · outpatient | $514 | $514 | — | — | 1–10 | $514 – $514 |
| 7 | Blue Cross Blue Shield hmo facility · other · outpatient | $665 | $665 | — | — | 1–10 | $665 – $665 |
| 8 | Blue Cross Blue Shield ppo facility · other · outpatient | $677 | $677 | — | — | 1–10 | $677 – $677 |
| 9 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $754 | $754 | — | — | 1–10 | $754 – $754 |
| 10 | Aetna hmo facility · other · outpatient | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
Last updated: Apr 1, 2026
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