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APC 05523

XR SIALOGRAM S I

Reported by 5 hospitals in the network under the other methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a payer-specific billing methodology not covered by the standard categories.

National pricing summary

Low

$406

Average

$425

Median

$429

High

$439

Hospitals reporting this code

#HospitalLocation
1Northside Hospital, Inc.Lawrenceville, GA$235$239$439$5.0k$870
2Northside Hospital, Inc.Canton, GA$238$242$413$4.6k$744
3Northside Hospital, Inc.Atlanta, GA$238$242$429$5.0k$815
4Northside Hospital, Inc.Duluth, GA$235$239$439$4.8k$870
5Northside Hospital, Inc.Cumming, GA$238$242$406$4.4k$711

Look up this code directly

Ask Claude or any MCP client for APC 05523 pricing at a specific hospital — see how to connect.

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