APC 5573
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 3 Imaging with Contrast
Cleveland, OH
See all hospitals reporting APC 5573 →Price type
Metrohealth System’s median price of $723 is 17% below the median hospital's median price ($872), higher than 5% of the 687 hospitals reporting APC 5573. 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, 21 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 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $572 | $572 | — | — | 110 | $572 – $572 |
| 2 | Molina medicaid managed care plan facility · other · outpatient | $581 | $581 | — | — | 1–10 | $581 – $581 |
| 3 | Molina medicare managed care facility · other · outpatient | $684 | $684 | — | — | 1–10 | $684 – $684 |
| 4 | Tricare government facility · other · outpatient | $695 | $695 | — | — | 1–10 | $695 – $695 |
| 5 | Cigna medicare managed care plan facility · other · outpatient | $715 | $715 | — | — | 1–10 | $715 – $715 |
| 6 | Aetna medicare managed care plan facility · other · outpatient | $716 | $716 | — | — | 338 | $716 – $716 |
| 7 | UnitedHealthcare medicare managed care facility · other · outpatient | $716 | $716 | — | — | 771 | $716 – $716 |
| 8 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $717 | $717 | — | — | 639 | $717 – $717 |
| 9 | Humana medicare managed care facility · other · outpatient | $718 | $718 | — | — | 237 | $718 – $718 |
| 10 | Caresource medicare managed care plan facility · other · outpatient | $718 | $718 | — | — | 63 | $718 – $718 |
| 11 | Devoted medicare managed care facility · other · outpatient | $719 | $719 | — | — | 205 | $719 – $719 |
| 12 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $730 | $730 | — | — | 37 | $730 – $730 |
| 13 | Caresource medicaid managed care plan facility · other · outpatient | $806 | $806 | — | — | 1–10 | $806 – $806 |
| 14 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $858 | $858 | — | — | 1–10 | $858 – $858 |
| 15 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $890 | $890 | — | — | 1–10 | $890 – $890 |
| 16 | Caresource exchange facility · other · outpatient | $1.0k | $1.0k | — | — | 103 | $1.0k – $1.0k |
| 17 | Molina exchange facility · other · outpatient | $1.0k | $1.0k | — | — | 191 | $1.0k – $1.0k |
| 18 | UnitedHealthcare all commercial plans facility · other · outpatient | $1.0k | $1.0k | — | — | 37 | $1.0k – $1.0k |
| 19 | Medical Mutual all commercial plans facility · other · outpatient | $1.2k | $1.2k | — | — | 1,304 | $1.2k – $1.2k |
| 20 | UnitedHealthcare va ccn government facility · other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
| 21 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
Last updated: Apr 1, 2026
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