APC 5571

Imaging scan with contrast dye, basic level at Methodist Sugar Land 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

Sugar Land, TX

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Pricing by billing methodology

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How this price compares nationally

Methodist Sugar Land Hospital’s median price of $709 is 129% above the median hospital's median price ($309), higher than 83% 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 Sugar Land Hospital

Negotiated rates from the hospital’s own file: 10 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	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$175	$175	—	—	99	$175 – $175
2	Humana choicecare ppo other · outpatient	$177	$177	—	—	1–10	$177 – $177
3	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$178	$178	—	—	1–10	$178 – $178
4	Humana medicare managed care - ppo other · outpatient	$178	$178	—	—	316	$178 – $178
5	UnitedHealthcare medicare managed care - ppo other · outpatient	$178	$178	—	—	523	$178 – $178
6	Aetna medicare managed care - hmo/ppo other · outpatient	$181	$181	—	—	288	$181 – $181
7	UnitedHealthcare medicare managed care - hmo other · outpatient	$196	$196	—	—	329	$196 – $196
8	Optum transplant other · outpatient	$250	$250	—	—	1–10	$250 – $250
9	Devoted medicare managed care - hmo other · outpatient	$261	$261	—	—	88	$261 – $261
10	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$262	$262	—	—	158	$262 – $262
11	Molina medicaid managed care plan other · outpatient	$590	$590	—	—	1–10	$590 – $590
12	Molina exchange other · outpatient	$828	$828	—	—	35	$828 – $828
13	First Health first health/coventry ppo other · outpatient	$1.4k	$1.4k	—	—	1–10	$1.4k – $1.4k
14	Blue Cross Blue Shield all commercial plans other · outpatient	$1.4k	$1.4k	—	—	932	$1.4k – $1.4k
15	Cigna network c-24 hmo/ppo other · outpatient	$1.4k	$1.4k	—	—	37	$1.4k – $1.4k
16	Cigna local plus/surefit hmo/ppo other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k
17	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$1.6k	$1.6k	—	—	235	$1.6k – $1.6k
18	UnitedHealthcare all commercial plans other · outpatient	$1.7k	$1.7k	—	—	271	$1.7k – $1.7k
19	Aetna hmo/pos/ppo other · outpatient	$2.1k	$2.1k	—	—	169	$2.1k – $2.1k
20	Aetna new business discount other commercial plan other · outpatient	$2.2k	$2.2k	—	—	1–10	$2.2k – $2.2k
21	Phcs ppo other · outpatient	$2.4k	$2.4k	—	—	1–10	$2.4k – $2.4k
22	Cigna all other benefit plans ppo other · outpatient	$2.4k	$2.4k	—	—	1–10	$2.4k – $2.4k
23	Cigna lifesource transplant other · outpatient	$3.3k	$3.3k	—	—	1–10	$3.3k – $3.3k

Last updated: Apr 1, 2026

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