APC 05524

Level 4 imaging 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

HC STRESS ECHO WO CONTRAST

Payers reporting APC 05524

Payer pricing summary

Low

$420

Average

$835

Median

$642

High

$2.0k

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	2	$1.9k	$1.9k	$159	9%	845–872	$1.7k – $2.0k
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$323	$323	—	—	3–30	$323 – $323
3	Humana fee schedule · outpatient · +2 other terms	86	$544	$548	$21	4%	—	$400 – $579
4	Caresource fee schedule · outpatient · +1 other terms	20	$560	$560	$3	1%	—	$555 – $563
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	18	$623	$1.1k	$909	81%	—	$299 – $3.1k
6	Aetna facility · fee schedule · outpatient · +4 other terms	15	$535	$596	$188	32%	—	$484 – $1.7k
7	Medicare facility · fee schedule · outpatient · +2 other terms	14	$563	$595	$66	11%	—	$487 – $703
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$525	$543	$5	1%	—	$525 – $546
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$701	$688	$82	12%	—	$509 – $807
10	Anthem facility · fee schedule · outpatient	5	$2.0k	$1.6k	$752	46%	—	$509 – $2.7k
11	Clover fee schedule · outpatient	5	$573	$570	$4	1%	—	$566 – $573
12	Kaiser fee schedule · outpatient · +2 other terms	5	$563	$560	$3	1%	—	$555 – $563
13	WellCare fee schedule · outpatient · +2 other terms	5	$563	$560	$3	1%	—	$555 – $563
14	Ambetter facility · fee schedule · outpatient	4	$887	$847	$172	20%	—	$692 – $1.1k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$1.4k	$1.4k	$432	32%	—	$589 – $1.8k
16	Devoted facility · fee schedule · outpatient	4	$555	$547	$20	4%	—	$522 – $571
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$614	$620	$32	5%	—	$558 – $646
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$899	$854	$329	38%	—	$543 – $1.2k
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$539	$538	$9	2%	—	$525 – $552
20	Carefirst facility · fee schedule · outpatient	3	$646	$617	$36	6%	—	$572 – $646
21	Medica facility · fee schedule · outpatient	3	$586	$586	—	—	—	$586 – $586
22	Bcbs Ca facility · fee schedule · outpatient	2	$2.2k	$2.0k	$926	46%	—	$699 – $2.7k
23	MultiPlan facility · other · outpatient · +1 other terms	2	$837	$837	$53	6%	—	$801 – $916
24	Cigna Healthspring facility · fee schedule · outpatient	1	$526	$526	—	—	—	$526 – $526
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$521	$521	$38	7%	—	$476 – $558

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