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
Cleveland, OH
See all hospitals reporting APC 5572 →Price type
Metrohealth System’s median price of $442 is 4% below the median hospital's median price ($461), higher than 47% 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: 10 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 | Aetna medicare managed care plan facility · other · outpatient | $325 | $325 | — | — | 239 | $325 – $325 |
| 2 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $325 | $325 | — | — | 77 | $325 – $325 |
| 3 | Caresource medicare managed care plan facility · other · outpatient | $325 | $325 | — | — | 61 | $325 – $325 |
| 4 | UnitedHealthcare medicare managed care facility · other · outpatient | $326 | $326 | — | — | 604 | $326 – $326 |
| 5 | Cigna medicare managed care plan facility · other · outpatient | $327 | $327 | — | — | 1–10 | $327 – $327 |
| 6 | Devoted medicare managed care facility · other · outpatient | $328 | $328 | — | — | 169 | $328 – $328 |
| 7 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $330 | $330 | — | — | 412 | $330 – $330 |
| 8 | Humana medicare managed care facility · other · outpatient | $330 | $330 | — | — | 221 | $330 – $330 |
| 9 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $330 | $330 | — | — | 21 | $330 – $330 |
| 10 | UnitedHealthcare va ccn government facility · other · outpatient | $330 | $330 | — | — | 1–10 | $330 – $330 |
| 11 | Molina medicare managed care facility · other · outpatient | $331 | $331 | — | — | 1–10 | $331 – $331 |
| 12 | Tricare government facility · other · outpatient | $338 | $338 | — | — | 1–10 | $338 – $338 |
| 13 | Caresource exchange facility · other · outpatient | $462 | $462 | — | — | 102 | $462 – $462 |
| 14 | Molina exchange facility · other · outpatient | $462 | $462 | — | — | 152 | $462 – $462 |
| 15 | Aetna cvs exchange facility · other · outpatient | $549 | $549 | — | — | 1–10 | $549 – $549 |
| 16 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $571 | $571 | — | — | 96 | $571 – $571 |
| 17 | Molina medicaid managed care plan facility · other · outpatient | $581 | $581 | — | — | 49 | $581 – $581 |
| 18 | Caresource medicaid managed care plan facility · other · outpatient | $592 | $592 | — | — | 99 | $592 – $592 |
| 19 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $592 | $592 | — | — | 71 | $592 – $592 |
| 20 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $713 | $713 | — | — | 15 | $713 – $713 |
| 21 | UnitedHealthcare all commercial plans facility · other · outpatient | $999 | $999 | — | — | 98 | $999 – $999 |
| 22 | Aetna all commercial plans facility · other · outpatient | $1.2k | $1.2k | — | — | 97 | $1.2k – $1.2k |
| 23 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $1.2k | $1.2k | — | — | 390 | $1.2k – $1.2k |
| 24 | Medical Mutual all commercial plans facility · other · outpatient | $1.3k | $1.3k | — | — | 1,194 | $1.3k – $1.3k |
| 25 | Cigna all commercial plans facility · other · outpatient | $1.7k | $1.7k | — | — | 81 | $1.7k – $1.7k |
Last updated: Apr 1, 2026
See Level 2 imaging with contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.