APC 5572

Level 2 imaging with contrast dye at Monroe Clinic, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 2 Imaging with Contrast

Monroe, WI

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Pricing by billing methodology

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How this price compares nationally

Monroe Clinic, Inc.’s median price of $345 is 25% below the median hospital's median price ($461), higher than 8% of the 740 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5572 at Monroe Clinic, Inc.

Negotiated rates from the hospital’s own file: 7 payers, 15 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	UnitedHealthcare community care medicaid managed care plan other · outpatient	$173	$173	—	—	24	$173 – $173
2	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$178	$178	—	—	16	$178 – $178
3	Molina medicaid managed care plan other · outpatient	$257	$257	—	—	80	$257 – $257
4	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$342	$342	—	—	45	$342 – $342
5	Aetna medicare managed care plan other · outpatient	$342	$342	—	—	180	$342 – $342
6	UnitedHealthcare medicare managed care plan other · outpatient	$342	$342	—	—	147	$342 – $342
7	Humana medicare managed care plan other · outpatient	$345	$345	—	—	68	$345 – $345
8	UnitedHealthcare optum vaccn government other · outpatient	$356	$356	—	—	19	$356 – $356
9	Molina medicare managed care plan other · outpatient	$428	$428	—	—	1–10	$428 – $428
10	Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient	$3.1k	$3.1k	—	—	87	$3.1k – $3.1k
11	UnitedHealthcare all commercial plans other · outpatient	$3.6k	$3.6k	—	—	70	$3.6k – $3.6k
12	Blue Cross Blue Shield blue access ppo other · outpatient	$3.7k	$3.7k	—	—	234	$3.7k – $3.7k
13	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$4.0k	$4.0k	—	—	16	$4.0k – $4.0k
14	Aetna all commercial plans other · outpatient	$4.6k	$4.6k	—	—	23	$4.6k – $4.6k
15	MultiPlan phcs primary network all commercial plans percent of total billed charges · outpatientfrom % of charges	$4.6k	$4.6k	—	—	1–10	$4.6k – $4.6k

Last updated: Apr 1, 2026

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