APC 05523

Imaging scan without contrast

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

MRI ORBIT, FACE, AND NECK UNEN

Payers reporting APC 05523

Payer pricing summary

Low

$182

Average

$397

Median

$298

High

$997

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	2	$834	$823	$131	16%	718–961	$322 – $1.6k
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$141	$141	—	—	6–60	$141 – $141
3	Humana fee schedule · outpatient · +2 other terms	86	$237	$280	$367	131%	—	$175 – $4.3k
4	Caresource fee schedule · outpatient · +1 other terms	20	$245	$285	$386	136%	—	$243 – $4.3k
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	18	$279	$489	$414	85%	—	$127 – $4.5k
6	Aetna facility · fee schedule · outpatient · +4 other terms	15	$234	$262	$97	37%	—	$129 – $739
7	Medicare facility · fee schedule · outpatient · +2 other terms	14	$246	$301	$371	123%	—	$213 – $4.3k
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$229	$277	$370	134%	—	$229 – $4.1k
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$340	$415	$607	146%	—	$222 – $5.4k
10	Anthem facility · fee schedule · outpatient	5	$862	$746	$332	45%	—	$222 – $1.2k
11	Clover fee schedule · outpatient	5	$293	$292	$400	137%	—	$247 – $4.4k
12	Kaiser fee schedule · outpatient · +2 other terms	5	$284	$285	$384	135%	—	$243 – $4.3k
13	WellCare fee schedule · outpatient · +2 other terms	5	$284	$285	$384	135%	—	$243 – $4.3k
14	Ambetter facility · fee schedule · outpatient	4	$387	$370	$417	113%	—	$302 – $8.2k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$566	$608	$365	60%	—	$257 – $4.5k
16	Devoted facility · fee schedule · outpatient	4	$242	$258	$275	107%	—	$228 – $4.4k
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$250	$250	$52	21%	—	$127 – $282
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$392	$420	$654	156%	—	$237 – $9.5k
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$235	$235	$4	2%	—	$229 – $241
20	Carefirst facility · fee schedule · outpatient	3	$256	$249	$52	21%	—	$125 – $282
21	Medica facility · fee schedule · outpatient	3	$256	$256	—	—	—	$256 – $256
22	Bcbs Ca facility · fee schedule · outpatient	2	$949	$880	$404	46%	—	$305 – $1.2k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$387	$387	$22	6%	—	$350 – $400
24	Cigna Healthspring facility · fee schedule · outpatient	1	$230	$230	—	—	—	$230 – $230
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$229	$229	$16	7%	—	$210 – $246

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