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
Houston, TX
See all hospitals reporting APC 5572 →Price type
Methodist West Houston Hospital’s median price of $785 is 71% 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: 12 payers, 27 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 choicecare ppo other · outpatient | $162 | $162 | — | — | 1–10 | $162 – $162 |
| 2 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $357 | $357 | — | — | 12 | $357 – $357 |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $357 | $357 | — | — | 62 | $357 – $357 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $357 | $357 | — | — | 179 | $357 – $357 |
| 5 | UnitedHealthcare medicare managed care - ppo other · outpatient | $357 | $357 | — | — | 477 | $357 – $357 |
| 6 | Humana medicare managed care - ppo other · outpatient | $357 | $357 | — | — | 322 | $357 – $357 |
| 7 | UnitedHealthcare medicare managed care - hmo other · outpatient | $362 | $362 | — | — | 317 | $362 – $362 |
| 8 | Aetna medicare managed care - hmo/ppo other · outpatient | $362 | $362 | — | — | 400 | $362 – $362 |
| 9 | Molina medicare/medicaid managed care plan other · outpatient | $370 | $370 | — | — | 1–10 | $370 – $370 |
| 10 | Devoted medicare managed care - hmo other · outpatient | $382 | $382 | — | — | 86 | $382 – $382 |
| 11 | Optum transplant medicare managed care plan other · outpatient | $498 | $498 | — | — | 1–10 | $498 – $498 |
| 12 | Molina exchange other · outpatient | $715 | $715 | — | — | 34 | $715 – $715 |
| 13 | Oscar medicare managed care - hmo other · outpatient | $1.0k | $1.0k | — | — | 1–10 | $1.0k – $1.0k |
| 14 | Molina medicaid managed care plan other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 15 | First Health first health/coventry ppo other · outpatient | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 16 | Cigna local plus/surefit hmo/ppo other · outpatient | $2.0k | $2.0k | — | — | 21 | $2.0k – $2.0k |
| 17 | Cigna network c-24 hmo/ppo other · outpatient | $2.1k | $2.1k | — | — | 140 | $2.1k – $2.1k |
| 18 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $2.1k | $2.1k | — | — | 595 | $2.1k – $2.1k |
| 19 | UnitedHealthcare all commercial plans other · outpatient | $2.1k | $2.1k | — | — | 723 | $2.1k – $2.1k |
| 20 | Aetna new business discount other commercial plan other · outpatient | $2.6k | $2.6k | — | — | 11 | $2.6k – $2.6k |
| 21 | Blue Cross Blue Shield all commercial plans other · outpatient | $2.8k | $2.8k | — | — | 2,150 | $2.8k – $2.8k |
| 22 | Aetna hmo/pos/ppo other · outpatient | $3.0k | $3.0k | — | — | 486 | $3.0k – $3.0k |
| 23 | MultiPlan ppo other · outpatient | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 24 | Cigna all other benefit plans ppo other · outpatient | $3.7k | $3.7k | — | — | 37 | $3.7k – $3.7k |
| 25 | Phcs ppo other · outpatient | $3.7k | $3.7k | — | — | 17 | $3.7k – $3.7k |
Last updated: Apr 1, 2026
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