APC 05592

Nuclear medicine imaging, level 2

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

TUMOR IMAGING 3D BONE

Payers reporting APC 05592

Payer pricing summary

Low

$396

Average

$844

Median

$627

High

$2.0k

Payer rate distribution

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#
1	Medical Mutual facility · other · outpatient	2	$1.9k	$1.8k	$149	8%	52–124	$1.7k – $2.0k
2	Aetna Better Health facility · other · outpatient · +1 other terms	4	$321	$321	—	—	1–10	$321 – $321
3	Humana fee schedule · outpatient · +2 other terms	86	$540	$545	$20	4%	—	$397 – $575
4	Caresource fee schedule · outpatient · +1 other terms	20	$557	$556	$3	1%	—	$552 – $559
5	UnitedHealthcare facility · fee schedule · outpatient · +4 other terms	17	$610	$1.2k	$928	78%	—	$297 – $3.0k
6	Aetna facility · fee schedule · outpatient · +4 other terms	15	$532	$614	$228	37%	—	$481 – $1.7k
7	Medicare facility · fee schedule · outpatient · +2 other terms	13	$560	$603	$72	12%	—	$484 – $698
8	Blue Cross Blue Shield fee schedule · outpatient · +4 other terms	11	$522	$540	$5	1%	—	$522 – $543
9	Molina facility · fee schedule · outpatient · +1 other terms	8	$704	$695	$78	11%	—	$505 – $818
10	Anthem facility · fee schedule · outpatient	5	$1.9k	$1.6k	$720	45%	—	$505 – $2.6k
11	Clover fee schedule · outpatient	5	$570	$567	$3	1%	—	$563 – $570
12	Kaiser fee schedule · outpatient · +2 other terms	5	$559	$556	$3	1%	—	$552 – $559
13	WellCare fee schedule · outpatient · +2 other terms	5	$559	$556	$3	1%	—	$552 – $559
14	Ambetter facility · fee schedule · outpatient	4	$881	$916	$171	19%	—	$687 – $1.0k
15	Cigna facility · fee schedule · outpatient · +1 other terms	4	$1.7k	$1.6k	$625	40%	—	$564 – $2.2k
16	Devoted facility · fee schedule · outpatient	4	$551	$549	$22	4%	—	$519 – $567
17	Tricare facility · fee schedule · outpatient · +1 other terms	4	$610	$620	$31	5%	—	$555 – $641
18	Amerihealth Caritas facility · fee schedule · outpatient	3	$893	$843	$326	39%	—	$539 – $1.2k
19	Bcbs Mi facility · fee schedule · outpatient · +1 other terms	3	$535	$534	$9	2%	—	$522 – $549
20	Carefirst facility · fee schedule · outpatient	3	$641	$617	$34	6%	—	$569 – $641
21	Medica facility · fee schedule · outpatient	3	$582	$582	—	—	—	$582 – $582
22	MultiPlan facility · other · outpatient · +1 other terms	3	$786	$835	$328	39%	—	$564 – $3.0k
23	Bcbs Ca facility · fee schedule · outpatient	2	$2.2k	$2.0k	$921	46%	—	$695 – $2.6k
24	Cigna Healthspring facility · fee schedule · outpatient	1	$523	$523	—	—	—	$523 – $523
25	Highmark facility · fee schedule · outpatient · +1 other terms	1	$513	$513	$39	8%	—	$467 – $555

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