APC 5571

Imaging scan with contrast dye, basic level at Methodist West Houston 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

Houston, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Methodist West Houston Hospital’s median price of $826 is 167% above the median hospital's median price ($309), higher than 85% 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 West Houston Hospital

Negotiated rates from the hospital’s own file: 11 payers, 25 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	Oscar medicare managed care - hmo other · outpatient	$175	$175	—	—	1–10	$175 – $175
2	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$178	$178	—	—	58	$178 – $178
3	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$178	$178	—	—	92	$178 – $178
4	Humana medicare managed care - ppo other · outpatient	$178	$178	—	—	246	$178 – $178
5	Aetna medicare managed care - hmo/ppo other · outpatient	$181	$181	—	—	289	$181 – $181
6	UnitedHealthcare medicare managed care - ppo other · outpatient	$182	$182	—	—	301	$182 – $182
7	Molina medicare/medicaid managed care plan other · outpatient	$184	$184	—	—	1–10	$184 – $184
8	Devoted medicare managed care - hmo other · outpatient	$200	$200	—	—	83	$200 – $200
9	UnitedHealthcare medicare managed care - hmo other · outpatient	$240	$240	—	—	234	$240 – $240
10	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$323	$323	—	—	1–10	$323 – $323
11	Humana choicecare ppo other · outpatient	$649	$649	—	—	1–10	$649 – $649
12	Molina exchange other · outpatient	$818	$818	—	—	19	$818 – $818
13	First Health first health/coventry ppo other · outpatient	$888	$888	—	—	1–10	$888 – $888
14	Blue Cross Blue Shield all commercial plans other · outpatient	$1.5k	$1.5k	—	—	849	$1.5k – $1.5k
15	Cigna network c-24 hmo/ppo other · outpatient	$1.6k	$1.6k	—	—	54	$1.6k – $1.6k
16	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$1.7k	$1.7k	—	—	224	$1.7k – $1.7k
17	UnitedHealthcare all commercial plans other · outpatient	$1.8k	$1.8k	—	—	286	$1.8k – $1.8k
18	Molina medicaid managed care plan other · outpatient	$2.0k	$2.0k	—	—	1–10	$2.0k – $2.0k
19	Aetna hmo/pos/ppo other · outpatient	$2.1k	$2.1k	—	—	193	$2.1k – $2.1k
20	Cigna local plus/surefit hmo/ppo other · outpatient	$2.3k	$2.3k	—	—	22	$2.3k – $2.3k
21	Aetna new business discount other commercial plan other · outpatient	$2.4k	$2.4k	—	—	1–10	$2.4k – $2.4k
22	Cigna all other benefit plans ppo other · outpatient	$2.7k	$2.7k	—	—	12	$2.7k – $2.7k
23	Cigna lifesource transplant other · outpatient	$3.1k	$3.1k	—	—	1–10	$3.1k – $3.1k
24	Optum transplant other · outpatient	$5.6k	$5.6k	—	—	1–10	$5.6k – $5.6k
25	Phcs ppo other · outpatient	$7.0k	$7.0k	—	—	1–10	$7.0k – $7.0k

Last updated: Apr 1, 2026

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