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
Cypress, TX
See all hospitals reporting APC 5572 →Price type
Houston Methodist Cypress Hospital’s median price of $790 is 72% above the median hospital's median price ($461), higher than 76% 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: 11 payers, 23 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 | MultiPlan ppo other · outpatient | $50 | $50 | — | — | 1–10 | $50 – $50 |
| 2 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $332 | $332 | — | — | 60 | $332 – $332 |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $333 | $333 | — | — | 13 | $333 – $333 |
| 4 | UnitedHealthcare medicare managed care - hmo other · outpatient | $333 | $333 | — | — | 42 | $333 – $333 |
| 5 | Humana medicare managed care - ppo other · outpatient | $351 | $351 | — | — | 106 | $351 – $351 |
| 6 | Molina advantage medicare managed care plan other · outpatient | $351 | $351 | — | — | 1–10 | $351 – $351 |
| 7 | UnitedHealthcare medicare managed care - ppo other · outpatient | $351 | $351 | — | — | 97 | $351 – $351 |
| 8 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $357 | $357 | — | — | 1–10 | $357 – $357 |
| 9 | Devoted medicare managed care - hmo other · outpatient | $379 | $379 | — | — | 13 | $379 – $379 |
| 10 | Aetna medicare managed care - hmo/ppo other · outpatient | $646 | $646 | — | — | 143 | $646 – $646 |
| 11 | Molina exchange other · outpatient | $933 | $933 | — | — | 1–10 | $933 – $933 |
| 12 | First Health first health/coventry ppo other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 13 | UnitedHealthcare all commercial plans other · outpatient | $1.9k | $1.9k | — | — | 298 | $1.9k – $1.9k |
| 14 | Cigna network c-24 hmo/ppo other · outpatient | $2.0k | $2.0k | — | — | 51 | $2.0k – $2.0k |
| 15 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $2.1k | $2.1k | — | — | 185 | $2.1k – $2.1k |
| 16 | Blue Cross Blue Shield all commercial plans other · outpatient | $2.5k | $2.5k | — | — | 939 | $2.5k – $2.5k |
| 17 | Aetna new business discount other commercial plan other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
| 18 | Aetna hmo/pos/ppo other · outpatient | $2.6k | $2.6k | — | — | 157 | $2.6k – $2.6k |
| 19 | Cigna local plus/surefit hmo/ppo other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
| 20 | Cigna all other benefit plans ppo other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 21 | Phcs ppo other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 22 | Optum transplant other · outpatient | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 23 | Aetna indemnity other commercial plan other · outpatient | $6.8k | $6.8k | — | — | 1–10 | $6.8k – $6.8k |
Last updated: Apr 1, 2026
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