APC 5571
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 1 Imaging with Contrast
Winona, MN
See all hospitals reporting APC 5571 →Price type
Winona Health Services’s median price of $218 is 29% below the median hospital's median price ($307), higher than 39% of the 733 hospitals reporting APC 5571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 12 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 | Humana medicare managed care plan facility · other · outpatient | $124 | $124 | — | — | 1–10 | $124 – $124 |
| 2 | Medica medicare managed care plan facility · other · outpatient | $164 | $164 | — | — | 1–10 | $164 – $164 |
| 3 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $184 | $184 | — | — | 13 | $184 – $184 |
| 4 | Blue Cross Blue Shield medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | — | — | 16 | $184 – $184 |
| 5 | Ucare minnesota pmap medicaid managed care plan facility · other · outpatient | $184 | $184 | — | — | 1–10 | $184 – $184 |
| 6 | Ucare medicare managed care plan facility · other · outpatient | $218 | $218 | — | — | 28 | $218 – $218 |
| 7 | Blue Cross Blue Shield blue plus pmap medicaid managed care plans facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 8 | Medica all commercial plans facility · other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 9 | Blue Cross Blue Shield state employee health plan facility · other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 10 | Blue Cross Blue Shield all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $1.9k | $1.9k | — | — | 22 | $1.9k – $1.9k |
| 11 | Blue Cross Blue Shield winona health employee plan facility · percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | 12 | $2.3k – $2.3k |
| 12 | UnitedHealthcare all commercial plans facility · other · outpatient | $3.1k | $3.1k | — | — | 1–10 | $3.1k – $3.1k |
Last updated: Apr 1, 2026
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