APC 5571

Imaging scan with contrast dye, basic level at Methodist Children's Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 1 Imaging with Contrast

Lubbock, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Children's Hospital’s median price of $689 is 123% above the median hospital's median price ($309), higher than 82% of the 736 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5571 at Methodist Children's Hospital

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Phcs all commercial plans other · outpatient	$20	$20	—	—	1–10	$20 – $20
2	Aetna medicare managed care plan other · outpatient	$167	$167	—	—	39	$167 – $167
3	Humana medicare managed care plan other · outpatient	$294	$294	—	—	100	$294 – $294
4	Blue Cross Blue Shield medicaid managed care plan other · outpatient	$324	$324	—	—	38	$324 – $324
5	Blue Cross Blue Shield medicare managed care plan other · outpatient	$356	$356	—	—	1–10	$356 – $356
6	UnitedHealthcare medicare managed care plan other · outpatient	$400	$400	—	—	301	$400 – $400
7	Blue Cross Blue Shield va pccc government other · outpatient	$409	$409	—	—	35	$409 – $409
8	Blue Cross Blue Shield par traditional other · outpatient	$653	$653	—	—	1–10	$653 – $653
9	UnitedHealthcare medicaid managed care plan other · outpatient	$689	$689	—	—	1–10	$689 – $689
10	Cigna oap other · outpatient	$825	$825	—	—	11	$825 – $825
11	First Health coventry all commercial plans other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
12	Aetna all commercial plans other · outpatient	$1.2k	$1.2k	—	—	22	$1.2k – $1.2k
13	Molina medicaid managed care plan other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
14	Cigna new buisness other commercial plan other · outpatient	$1.7k	$1.7k	—	—	1–10	$1.7k – $1.7k
15	Blue Cross Blue Shield ers blue essentials for healthselect members hmo other · outpatient	$1.7k	$1.7k	—	—	62	$1.7k – $1.7k
16	UnitedHealthcare all commercial plans other · outpatient	$1.7k	$1.7k	—	—	97	$1.7k – $1.7k
17	UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges	$1.9k	$1.9k	—	—	65	$1.9k – $1.9k
18	Blue Cross Blue Shield blue essentials hmo other · outpatient	$2.0k	$2.0k	—	—	29	$2.0k – $2.0k
19	Blue Cross Blue Shield ppo other · outpatient	$2.3k	$2.3k	—	—	355	$2.3k – $2.3k
20	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$3.4k	$3.4k	—	—	1–10	$3.4k – $3.4k

Last updated: Apr 1, 2026

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