APC 5571

Imaging scan with contrast dye, basic level at Methodist Willowbrook 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 Willowbrook Hospital’s median price of $639 is 107% above the median hospital's median price ($309), higher than 79% 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 Willowbrook 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	$178	$178	—	—	32	$178 – $178
2	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$178	$178	—	—	119	$178 – $178
3	Humana medicare managed care - ppo other · outpatient	$178	$178	—	—	220	$178 – $178
4	UnitedHealthcare medicare managed care - hmo other · outpatient	$182	$182	—	—	185	$182 – $182
5	UnitedHealthcare medicare managed care - ppo other · outpatient	$182	$182	—	—	285	$182 – $182
6	Molina advantage medicare managed care plan other · outpatient	$184	$184	—	—	1–10	$184 – $184
7	Molina medicare/medicaid managed care plan other · outpatient	$184	$184	—	—	1–10	$184 – $184
8	Aetna medicare managed care - hmo/ppo other · outpatient	$189	$189	—	—	219	$189 – $189
9	Devoted medicare managed care - hmo other · outpatient	$191	$191	—	—	87	$191 – $191
10	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$419	$419	—	—	1–10	$419 – $419
11	Phcs ppo other · outpatient	$488	$488	—	—	1–10	$488 – $488
12	Molina exchange other · outpatient	$804	$804	—	—	17	$804 – $804
13	Molina medicaid managed care plan other · outpatient	$1.0k	$1.0k	—	—	1–10	$1.0k – $1.0k
14	First Health first health/coventry ppo other · outpatient	$1.2k	$1.2k	—	—	1–10	$1.2k – $1.2k
15	Blue Cross Blue Shield all commercial plans other · outpatient	$1.4k	$1.4k	—	—	786	$1.4k – $1.4k
16	Cigna network c-24 hmo/ppo other · outpatient	$1.5k	$1.5k	—	—	44	$1.5k – $1.5k
17	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$1.6k	$1.6k	—	—	157	$1.6k – $1.6k
18	UnitedHealthcare all commercial plans other · outpatient	$1.8k	$1.8k	—	—	174	$1.8k – $1.8k
19	Aetna new business discount other commercial plan other · outpatient	$2.0k	$2.0k	—	—	1–10	$2.0k – $2.0k
20	Aetna hmo/pos/ppo other · outpatient	$2.2k	$2.2k	—	—	150	$2.2k – $2.2k
21	Cigna local plus/surefit hmo/ppo other · outpatient	$2.9k	$2.9k	—	—	1–10	$2.9k – $2.9k
22	Cigna all other benefit plans ppo other · outpatient	$4.0k	$4.0k	—	—	1–10	$4.0k – $4.0k
23	Optum transplant medicaid managed care plan other · outpatient	$7.5k	$7.5k	—	—	1–10	$7.5k – $7.5k

Last updated: Apr 1, 2026

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