APC 5571

Imaging scan with contrast dye, basic level at SSM-SLUH, 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 1 Imaging with Contrast

Saint Louis, MO

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Pricing by billing methodology

Price type

How this price compares nationally

SSM-SLUH, Inc.’s median price of $358 is 16% above the median hospital's median price ($309), higher than 55% of the 736 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5571 at SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 27 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	Medica medicare managed care plan other · outpatient	$123	$123	—	—	1–10	$123 – $123
2	Aetna carelink all commercial plans other · outpatient	$179	$179	—	—	1–10	$179 – $179
3	Humana medicare managed care plan other · outpatient	$201	$201	—	—	76	$201 – $201
4	Cigna all commercial plans other · outpatient	$223	$223	—	—	54	$223 – $223
5	UnitedHealthcare community care medicaid managed care plan other · outpatient	$228	$228	—	—	76	$228 – $228
6	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$242	$242	—	—	91	$242 – $242
7	Molina medicaid managed care plan other · outpatient	$247	$247	—	—	46	$247 – $247
8	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$247	$247	—	—	11	$247 – $247
9	Aetna better health medicaid managed care plan other · outpatient	$249	$249	—	—	14	$249 – $249
10	UnitedHealthcare medicare managed care plan other · outpatient	$255	$255	—	—	578	$255 – $255
11	Aetna gold advantage medicare managed care plan other · outpatient	$257	$257	—	—	260	$257 – $257
12	UnitedHealthcare optum vaccn government other · outpatient	$257	$257	—	—	27	$257 – $257
13	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$327	$327	—	—	1–10	$327 – $327
14	UnitedHealthcare non-ppo other commercial plan other · outpatient	$358	$358	—	—	210	$358 – $358
15	UnitedHealthcare options ppo other · outpatient	$365	$365	—	—	31	$365 – $365
16	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$376	$376	—	—	83	$376 – $376
17	UnitedHealthcare employee other · outpatient	$402	$402	—	—	14	$402 – $402
18	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$506	$506	—	—	131	$506 – $506
19	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$533	$533	—	—	59	$533 – $533
20	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$608	$608	—	—	19	$608 – $608
21	Phcs all commercial plans other · outpatient	$626	$626	—	—	1–10	$626 – $626
22	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$673	$673	—	—	223	$673 – $673
23	Medica exchange other · outpatient	$722	$722	—	—	1–10	$722 – $722
24	Aetna all commercial plans other · outpatient	$1.2k	$1.2k	—	—	64	$1.2k – $1.2k
25	Optum transplant medicare managed care plan other · outpatient	$1.3k	$1.3k	—	—	11	$1.3k – $1.3k

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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