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 Contr
SAN ANTONIO, TX
See all hospitals reporting APC 5573 →Price type
Metropolitan Methodist’s median price of $811 is 7% below the median hospital's median price ($872), higher than 24% of the 684 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: 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 2 | Blue Cross Blue Shield mgmcrpos fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 3 | Blue Cross Blue Shield mgmcrppo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 4 | Devoted dualeligible fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 5 | Devoted mcrhmo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 6 | Devoted mcrpffs fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 7 | Devoted mcrpos fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 8 | Devoted mcrppo fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 9 | Devoted mcrsnp fee schedule · outpatient | $787 | $787 | — | — | — | $787 – $787 |
| 10 | Aetna mcr fee schedule · outpatient | $802 | $802 | — | — | — | $802 – $802 |
| 11 | UnitedHealthcare mcr fee schedule · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 12 | WellCare mcrhmo fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 13 | WellCare mcrpos fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 14 | WellCare mcrppo fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 15 | WellCare mcrsnp fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 16 | WellCare pffs fee schedule · outpatient | $811 | $811 | — | — | — | $811 – $811 |
| 17 | Clover mcr fee schedule · outpatient | $827 | $827 | — | — | — | $827 – $827 |
| 18 | Molina mcr fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Molina mme-mmp fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
Last updated: May 1, 2026
See Level 3 imaging scan using contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.