APC 5571
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 1 Imaging with Contrast
Monroe, WI
See all hospitals reporting APC 5571 →Price type
Monroe Clinic, Inc.’s median price of $348 is 13% above the median hospital's median price ($309), higher than 54% of the 736 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 17 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 | Molina medicaid managed care plan other · outpatient | $112 | $112 | — | — | 29 | $112 – $112 |
| 2 | Molina medicare managed care plan other · outpatient | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 3 | Aetna medicare managed care plan other · outpatient | $172 | $172 | — | — | 105 | $172 – $172 |
| 4 | Humana medicare managed care plan other · outpatient | $174 | $174 | — | — | 32 | $174 – $174 |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $220 | $220 | — | — | 51 | $220 – $220 |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $239 | $239 | — | — | 84 | $239 – $239 |
| 7 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $275 | $275 | — | — | 1–10 | $275 – $275 |
| 8 | UnitedHealthcare optum vaccn government other · outpatient | $420 | $420 | — | — | 1–10 | $420 – $420 |
| 9 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $434 | $434 | — | — | 1–10 | $434 – $434 |
| 10 | Blue Cross Blue Shield blue traditional traditional other · outpatient | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 11 | UnitedHealthcare all commercial plans other · outpatient | $2.3k | $2.3k | — | — | 24 | $2.3k – $2.3k |
| 12 | Aetna all commercial plans other · outpatient | $2.6k | $2.6k | — | — | 15 | $2.6k – $2.6k |
| 13 | First Health other commercial plan percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 14 | MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | 1–10 | $2.8k – $2.8k |
| 15 | Blue Cross Blue Shield blue access ppo other · outpatient | $2.8k | $2.8k | — | — | 101 | $2.8k – $2.8k |
| 16 | Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | 1–10 | $2.9k – $2.9k |
| 17 | Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient | $3.0k | $3.0k | — | — | 37 | $3.0k – $3.0k |
Last updated: Apr 1, 2026
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