APC 5522
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
Level 2 Imaging without Contrast
Low
$56
Average
$185
Median
$203
High
$330
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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7 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Beth Israel Deaconess Hospital - Needham Needham, MA other · outpatient | 1 | $203 | $203 | — | — | 1–10 | $203 – $203 |
| 2 | Beth Israel Deaconess Hospital - Plymouth Plymouth, MA other · outpatient | 1 | $160 | $160 | — | — | 22 | $160 – $160 |
| 3 | Beth Israel Deaconess Hospital-Milton Inc Milton, MA other · outpatient | 1 | $139 | $139 | — | — | 24 | $139 – $139 |
| 4 | Beth Israel Deaconess Medical Center Boston, MA other · outpatient | 1 | $203 | $203 | — | — | 353 | $203 – $203 |
| 5 | Lahey Hospital & Medical Center, Burlington Peabody, MA other · outpatient | 1 | $204 | $204 | — | — | 45 | $204 – $204 |
| 6 | Providence Health and Services - Oregon Seaside, OR other · outpatient | 1 | $330 | $330 | — | — | 14 | $330 – $330 |
| 7 | UNIVERSITY OF MICHIGAN HEALTH Ann Arbor, MI facility · case rate · outpatient | 1 | $56 | $56 | — | — | — | $56 – $56 |
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