APC 5572
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 2 Imaging with Contrast
Akron, OH
See all hospitals reporting APC 5572 →Price type
Summa Health System’s median price of $472 is 3% above the median hospital's median price ($461), higher than 52% of the 740 hospitals reporting APC 5572. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 25 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 | Cigna medicare managed care plan other · outpatient | $241 | $241 | — | — | 1–10 | $241 – $241 |
| 2 | Aetna medicare managed care plan other · outpatient | $324 | $324 | — | — | 509 | $324 – $324 |
| 3 | UnitedHealthcare medicare managed care plan other · outpatient | $325 | $325 | — | — | 794 | $325 – $325 |
| 4 | Caresource medicare managed care plan other · outpatient | $326 | $326 | — | — | 56 | $326 – $326 |
| 5 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $328 | $328 | — | — | 593 | $328 – $328 |
| 6 | Humana medicare managed care plan other · outpatient | $329 | $329 | — | — | 326 | $329 – $329 |
| 7 | Medical Mutual medicare managed care plan other · outpatient | $335 | $335 | — | — | 164 | $335 – $335 |
| 8 | WellCare medicare managed care plan other · outpatient | $355 | $355 | — | — | 1–10 | $355 – $355 |
| 9 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $437 | $437 | — | — | 73 | $437 – $437 |
| 10 | Humana medicaid managed care plan other · outpatient | $442 | $442 | — | — | 111 | $442 – $442 |
| 11 | UnitedHealthcare community plan medicaid managed care plan other · outpatient | $442 | $442 | — | — | 225 | $442 – $442 |
| 12 | Caresource medicaid managed care plan other · outpatient | $450 | $450 | — | — | 255 | $450 – $450 |
| 13 | Molina medicaid managed care plan other · outpatient | $450 | $450 | — | — | 60 | $450 – $450 |
| 14 | Aetna exchange other · outpatient | $495 | $495 | — | — | 1–10 | $495 – $495 |
| 15 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $508 | $508 | — | — | 18 | $508 – $508 |
| 16 | UnitedHealthcare exchange other · outpatient | $551 | $551 | — | — | 1–10 | $551 – $551 |
| 17 | Medical Mutual aca exchange other · outpatient | $860 | $860 | — | — | 50 | $860 – $860 |
| 18 | Aetna all commercial plans other · outpatient | $970 | $970 | — | — | 208 | $970 – $970 |
| 19 | Molina medicare managed care plan other · outpatient | $996 | $996 | — | — | 1–10 | $996 – $996 |
| 20 | Cigna all commercial plans other · outpatient | $1.1k | $1.1k | — | — | 208 | $1.1k – $1.1k |
| 21 | Blue Cross Blue Shield anthem blue access/blue preferred hmo/ppo other · outpatient | $1.1k | $1.1k | — | — | 1,212 | $1.1k – $1.1k |
| 22 | UnitedHealthcare all commercial plans other · outpatient | $1.2k | $1.2k | — | — | 482 | $1.2k – $1.2k |
| 23 | Medical Mutual medflex other commercial plan other · outpatient | $1.2k | $1.2k | — | — | 17 | $1.2k – $1.2k |
| 24 | Medical Mutual supermed hmo/pos/ppo other · outpatient | $1.5k | $1.5k | — | — | 964 | $1.5k – $1.5k |
| 25 | Phcs all commercial plans other · outpatient | $2.6k | $2.6k | — | — | 1–10 | $2.6k – $2.6k |
Last updated: Apr 1, 2026
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