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 Contr
SAN ANTONIO, TX
See all hospitals reporting APC 5572 →Price type
Metropolitan Methodist’s median price of $361 is 21% below the median hospital's median price ($459), higher than 16% of the 736 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: 7 payers, 19 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 mgmcrhmo fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 4 | Devoted dualeligible fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 5 | Devoted mcrhmo fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 6 | Devoted mcrpffs fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 7 | Devoted mcrpos fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 8 | Devoted mcrppo fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 9 | Devoted mcrsnp fee schedule · outpatient | $350 | $350 | — | — | — | $350 – $350 |
| 10 | Aetna mcr fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 12 | WellCare mcrhmo fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 13 | WellCare mcrpos fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 14 | WellCare mcrppo fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 15 | WellCare mcrsnp fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 16 | WellCare pffs fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 17 | Clover mcr fee schedule · outpatient | $368 | $368 | — | — | — | $368 – $368 |
| 18 | Molina mcr fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
| 19 | Molina mme-mmp fee schedule · outpatient | $557 | $557 | — | — | — | $557 – $557 |
Last updated: May 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.