APC 5572

Level 2 imaging with contrast dye 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 2 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 $468 is 2% above the median hospital's median price ($461), higher than 51% 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 SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Aetna carelink all commercial plans other · outpatient	$184	$184	—	—	1–10	$184 – $184
2	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$319	$319	—	—	162	$319 – $319
3	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$325	$325	—	—	1–10	$325 – $325
4	Medica medicare managed care plan other · outpatient	$327	$327	—	—	16	$327 – $327
5	Molina medicaid managed care plan other · outpatient	$328	$328	—	—	78	$328 – $328
6	UnitedHealthcare medicare managed care plan other · outpatient	$329	$329	—	—	808	$329 – $329
7	Aetna better health medicaid managed care plan other · outpatient	$331	$331	—	—	14	$331 – $331
8	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$334	$334	—	—	14	$334 – $334
9	Humana medicare managed care plan other · outpatient	$341	$341	—	—	119	$341 – $341
10	Aetna gold advantage medicare managed care plan other · outpatient	$342	$342	—	—	457	$342 – $342
11	UnitedHealthcare optum vaccn government other · outpatient	$342	$342	—	—	71	$342 – $342
12	Cigna all commercial plans other · outpatient	$370	$370	—	—	129	$370 – $370
13	UnitedHealthcare community care medicaid managed care plan other · outpatient	$376	$376	—	—	136	$376 – $376
14	UnitedHealthcare non-ppo other commercial plan other · outpatient	$468	$468	—	—	489	$468 – $468
15	UnitedHealthcare options ppo other · outpatient	$468	$468	—	—	86	$468 – $468
16	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$540	$540	—	—	177	$540 – $540
17	Medica exchange other · outpatient	$543	$543	—	—	1–10	$543 – $543
18	UnitedHealthcare employee other · outpatient	$544	$544	—	—	65	$544 – $544
19	Oscar exchange other · outpatient	$709	$709	—	—	1–10	$709 – $709
20	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$1.1k	$1.1k	—	—	100	$1.1k – $1.1k
21	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$1.1k	$1.1k	—	—	317	$1.1k – $1.1k
22	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$1.2k	$1.2k	—	—	473	$1.2k – $1.2k
23	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$1.2k	$1.2k	—	—	39	$1.2k – $1.2k
24	Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges	$1.4k	$1.4k	—	—	27	$1.4k – $1.4k
25	Aetna all commercial plans other · outpatient	$1.5k	$1.5k	—	—	139	$1.5k – $1.5k

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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