APC 5573

Level 3 imaging scan using 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 3 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 $1.2k is 40% above the median hospital's median price ($872), higher than 69% of the 687 hospitals reporting APC 5573. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5573 at SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 26 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 better health medicaid managed care plan other · outpatient	$355	$355	—	—	1–10	$355 – $355
2	Molina medicaid managed care plan other · outpatient	$687	$687	—	—	11	$687 – $687
3	Humana medicare managed care plan other · outpatient	$708	$708	—	—	30	$708 – $708
4	UnitedHealthcare medicare managed care plan other · outpatient	$719	$719	—	—	132	$719 – $719
5	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$743	$743	—	—	45	$743 – $743
6	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$744	$744	—	—	1–10	$744 – $744
7	Medica medicare managed care plan other · outpatient	$756	$756	—	—	1–10	$756 – $756
8	UnitedHealthcare non-ppo other commercial plan other · outpatient	$760	$760	—	—	53	$760 – $760
9	Aetna gold advantage medicare managed care plan other · outpatient	$763	$763	—	—	82	$763 – $763
10	UnitedHealthcare employee other · outpatient	$796	$796	—	—	1–10	$796 – $796
11	UnitedHealthcare options ppo other · outpatient	$967	$967	—	—	1–10	$967 – $967
12	UnitedHealthcare optum vaccn government other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
13	UnitedHealthcare community care medicaid managed care plan other · outpatient	$1.2k	$1.2k	—	—	30	$1.2k – $1.2k
14	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$1.3k	$1.3k	—	—	1–10	$1.3k – $1.3k
15	Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient	$1.6k	$1.6k	—	—	34	$1.6k – $1.6k
16	Phcs all commercial plans other · outpatient	$2.2k	$2.2k	—	—	1–10	$2.2k – $2.2k
17	Optum transplant medicare managed care plan other · outpatient	$2.3k	$2.3k	—	—	27	$2.3k – $2.3k
18	Oscar exchange other · outpatient	$2.6k	$2.6k	—	—	1–10	$2.6k – $2.6k
19	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$3.1k	$3.1k	—	—	25	$3.1k – $3.1k
20	Aetna nap other commercial plan percent of total billed charges · outpatientfrom % of charges	$3.6k	$3.6k	—	—	1–10	$3.6k – $3.6k
21	Aetna all commercial plans other · outpatient	$3.9k	$3.9k	—	—	16	$3.9k – $3.9k
22	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$4.2k	$4.2k	—	—	58	$4.2k – $4.2k
23	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$4.4k	$4.4k	—	—	76	$4.4k – $4.4k
24	Cigna all commercial plans other · outpatient	$4.9k	$4.9k	—	—	14	$4.9k – $4.9k
25	Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges	$5.4k	$5.4k	—	—	1–10	$5.4k – $5.4k

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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