APC 5573

Level 3 imaging scan using contrast dye at Summa Health System

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

Akron, OH

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Pricing by billing methodology

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How this price compares nationally

Summa Health System’s median price of $728 is 17% below the median hospital's median price ($872), higher than 5% 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 Summa Health System

Negotiated rates from the hospital’s own file: 9 payers, 22 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	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$400	$400	—	—	15	$400 – $400
2	Humana medicaid managed care plan other · outpatient	$404	$404	—	—	27	$404 – $404
3	UnitedHealthcare community plan medicaid managed care plan other · outpatient	$404	$404	—	—	58	$404 – $404
4	Caresource medicaid managed care plan other · outpatient	$412	$412	—	—	51	$412 – $412
5	Molina medicaid managed care plan other · outpatient	$421	$421	—	—	14	$421 – $421
6	Cigna medicare managed care plan other · outpatient	$448	$448	—	—	1–10	$448 – $448
7	WellCare medicare managed care plan other · outpatient	$570	$570	—	—	1–10	$570 – $570
8	Caresource medicare managed care plan other · outpatient	$601	$601	—	—	16	$601 – $601
9	Aetna medicare managed care plan other · outpatient	$715	$715	—	—	187	$715 – $715
10	UnitedHealthcare medicare managed care plan other · outpatient	$715	$715	—	—	346	$715 – $715
11	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$717	$717	—	—	213	$717 – $717
12	Humana medicare managed care plan other · outpatient	$718	$718	—	—	144	$718 – $718
13	Medical Mutual medicare managed care plan other · outpatient	$737	$737	—	—	58	$737 – $737
14	Aetna exchange other · outpatient	$1.0k	$1.0k	—	—	1–10	$1.0k – $1.0k
15	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
16	Medical Mutual aca exchange other · outpatient	$1.9k	$1.9k	—	—	17	$1.9k – $1.9k
17	Cigna all commercial plans other · outpatient	$2.4k	$2.4k	—	—	57	$2.4k – $2.4k
18	Aetna all commercial plans other · outpatient	$2.4k	$2.4k	—	—	34	$2.4k – $2.4k
19	Blue Cross Blue Shield anthem blue access/blue preferred hmo/ppo other · outpatient	$2.5k	$2.5k	—	—	263	$2.5k – $2.5k
20	Medical Mutual medflex other commercial plan other · outpatient	$2.5k	$2.5k	—	—	1–10	$2.5k – $2.5k
21	UnitedHealthcare all commercial plans other · outpatient	$2.7k	$2.7k	—	—	97	$2.7k – $2.7k
22	Medical Mutual supermed hmo/pos/ppo other · outpatient	$3.2k	$3.2k	—	—	185	$3.2k – $3.2k

Last updated: Apr 1, 2026

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See Level 3 imaging scan using contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.