APC 5572

Level 2 imaging with contrast dye 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 2 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 $635 is 38% above the median hospital's median price ($461), higher than 66% of the 740 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5572 at Methodist Willowbrook 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	MultiPlan ppo other · outpatient	$300	$300	—	—	1–10	$300 – $300
2	Humana transplant medicare managed care plan other · outpatient	$351	$351	—	—	1–10	$351 – $351
3	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$354	$354	—	—	242	$354 – $354
4	UnitedHealthcare medicare managed care - ppo other · outpatient	$356	$356	—	—	489	$356 – $356
5	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$357	$357	—	—	15	$357 – $357
6	Blue Cross Blue Shield medicare managed care - ppo other · outpatient	$357	$357	—	—	76	$357 – $357
7	Humana medicare managed care - ppo other · outpatient	$357	$357	—	—	349	$357 – $357
8	Aetna medicare managed care - hmo/ppo other · outpatient	$361	$361	—	—	454	$361 – $361
9	UnitedHealthcare medicare managed care - hmo other · outpatient	$362	$362	—	—	340	$362 – $362
10	Devoted medicare managed care - hmo other · outpatient	$379	$379	—	—	109	$379 – $379
11	Optum transplant medicare managed care plan other · outpatient	$474	$474	—	—	1–10	$474 – $474
12	Phcs ppo other · outpatient	$500	$500	—	—	1–10	$500 – $500
13	Molina medicare/medicaid managed care plan other · outpatient	$635	$635	—	—	1–10	$635 – $635
14	Molina exchange other · outpatient	$715	$715	—	—	20	$715 – $715
15	Molina medicaid managed care plan other · outpatient	$1.2k	$1.2k	—	—	12	$1.2k – $1.2k
16	First Health first health/coventry ppo other · outpatient	$1.8k	$1.8k	—	—	1–10	$1.8k – $1.8k
17	Cigna local plus/surefit hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	1–10	$2.0k – $2.0k
18	Cigna network c-24 hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	107	$2.0k – $2.0k
19	UnitedHealthcare all commercial plans other · outpatient	$2.0k	$2.0k	—	—	560	$2.0k – $2.0k
20	Optum transplant other · outpatient	$2.1k	$2.1k	—	—	1–10	$2.1k – $2.1k
21	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$2.1k	$2.1k	—	—	443	$2.1k – $2.1k
22	Blue Cross Blue Shield all commercial plans other · outpatient	$2.8k	$2.8k	—	—	1,943	$2.8k – $2.8k
23	Aetna hmo/pos/ppo other · outpatient	$2.9k	$2.9k	—	—	343	$2.9k – $2.9k
24	Cigna all other benefit plans ppo other · outpatient	$4.3k	$4.3k	—	—	1–10	$4.3k – $4.3k
25	Aetna new business discount other commercial plan other · outpatient	$4.5k	$4.5k	—	—	14	$4.5k – $4.5k

Last updated: Apr 1, 2026

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