APC 5522

Level 2 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.

Generation details were not recorded for this description.

Original text from hospital filings

Payers reporting APC 5522

Payer pricing summary

Low

$90

Average

$345

Median

$216

High

$1.8k

Payer rate distribution

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#
1	Blue Cross Blue Shield other · outpatient · +8 other terms	242	$325	$502	$769	153%	655,373–657,200	$4 – $11.5k
2	UnitedHealthcare other · outpatient · +8 other terms	260	$295	$320	$588	184%	320,628–322,086	$40 – $13.8k
3	Aetna other · outpatient · +8 other terms	238	$275	$370	$468	126%	216,835–217,744	$13 – $5.2k
4	Humana other · outpatient · +7 other terms	216	$118	$184	$480	262%	90,491–90,968	$61 – $7.9k
5	Cigna other · outpatient · +6 other terms	194	$477	$707	$854	121%	84,938–85,415	$96 – $9.9k
6	Excellus facility · other · outpatient · +1 other terms	8	$167	$191	$192	100%	40,834–40,861	$17 – $567
7	Molina other · outpatient · +7 other terms	124	$130	$172	$145	84%	40,294–41,014	$19 – $1.3k
8	Medical Mutual other · outpatient · +4 other terms	23	$355	$399	$363	91%	17,096–17,213	$97 – $1.8k
9	Caresource facility · other · outpatient · +3 other terms	36	$170	$194	$95	49%	11,257–11,374	$57 – $630
10	Oscar facility · other · outpatient · +5 other terms	52	$181	$190	$41	22%	9,283–9,481	$94 – $924
11	Ambetter facility · other · outpatient · +5 other terms	32	$176	$234	$220	94%	8,591–8,672	$96 – $1.1k
12	Healthpartners other · outpatient · +2 other terms	7	$628	$639	$369	58%	3,682–3,907	$62 – $1.9k
13	Kaiser other · outpatient · +6 other terms	46	$637	$2.5k	$6.2k	248%	3,582–3,969	$73 – $29.1k
14	Optum facility · other · outpatient · +4 other terms	36	$107	$349	$217	62%	2,855–3,026	$97 – $1.8k
15	Highmark facility · other · outpatient · +2 other terms	12	$168	$171	$68	40%	2,687–2,732	$15 – $831
16	Bcbs Mn other · outpatient · +1 other terms	1	$146	$146	$54	37%	2,325	$102 – $235
17	Bcbs Mi other · outpatient · +1 other terms	3	$333	$347	$156	45%	1,661–1,688	$185 – $629
18	Ucare facility · other · outpatient · +2 other terms	4	$146	$141	$47	33%	1,337–1,364	$98 – $243
19	First Health other · outpatient · +4 other terms	52	$446	$557	$380	68%	1,231–1,492	$89 – $2.2k
20	Clover facility · other · outpatient · +4 other terms	27	$111	$119	$17	14%	690–771	$94 – $542
21	Tricare other · outpatient · +3 other terms	22	$137	$173	$81	47%	623–704	$98 – $364
22	Healthcare Highways other · outpatient · +2 other terms	6	$579	$547	$163	30%	490–499	$320 – $726
23	Medicaid other · outpatient · +1 other terms	6	$203	$207	$61	29%	459–468	$139 – $330
24	Phcs other · outpatient · +3 other terms	19	$463	$622	$530	85%	279–351	$98 – $2.4k
25	Carefirst facility · other · outpatient	1	$387	$387	$58	15%	203	$329 – $446

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