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
$75
Average
$318
Median
$187
High
$8.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
696 hospitals; the 90th percentile is 6.3× 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.
Filter by billing methodology
Filter by billing class
745 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $668 | $503 | $279 | 56% | 14,951 | $109 – $731 |
| 2 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 6 | $886 | $782 | $477 | 61% | 7,334–7,343 | $156 – $1.5k |
| 3 | Ucsf Medical Center San Francisco, CA other · outpatient | 6 | $886 | $782 | $477 | 61% | 7,334–7,343 | $156 – $1.5k |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $174 | $314 | $253 | 80% | 7,031 | $99 – $669 |
| 5 | University of Washington Medical Center Seattle, WA other · outpatient | 6 | $137 | $210 | $129 | 62% | 7,031–7,040 | $90 – $408 |
| 6 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 3 | $109 | $567 | $650 | 115% | 6,895 | $107 – $1.5k |
| 7 | The Methodist Hospital Houston, TX other · outpatient | 3 | $107 | $566 | $651 | 115% | 6,666 | $105 – $1.5k |
| 8 | Summa Health System Wadsworth, OH other · outpatient | 4 | $150 | $190 | $103 | 54% | 6,426 | $96 – $363 |
| 9 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $261 | $262 | $144 | 55% | 6,371 | $100 – $426 |
| 10 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $227 | $227 | $120 | 53% | 6,279 | $107 – $347 |
| 11 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $235 | $224 | $74 | 33% | 5,921 | $110 – $316 |
| 12 | Grant Medical Center Columbus, OH other · outpatient | 4 | $272 | $254 | $119 | 47% | 5,248 | $100 – $374 |
| 13 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 4 | $141 | $267 | $247 | 92% | 5,206 | $96 – $691 |
| 14 | Rochester General Hospital Rochester, NY facility · other · outpatient | 4 | $129 | $159 | $94 | 59% | 5,200 | $62 – $314 |
| 15 | Edward Hospital Plainfield, IL other · outpatient | 3 | $562 | $412 | $214 | 52% | 5,117 | $109 – $566 |
| 16 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $324 | $324 | $227 | 70% | 5,008 | $97 – $551 |
| 17 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 3 | $173 | $242 | $167 | 69% | 4,837 | $81 – $472 |
| 18 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 3 | $132 | $287 | $242 | 85% | 4,758 | $99 – $629 |
| 19 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 3 | $109 | $567 | $650 | 115% | 4,621 | $107 – $1.5k |
| 20 | University Medical Center Lubbock, TX other · outpatient | 3 | $404 | $321 | $151 | 47% | 4,608–4,617 | $110 – $450 |
| 21 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK other · outpatient | 3 | $101 | $280 | $255 | 91% | 4,602 | $99 – $640 |
| 22 | Metrohealth System Parma, OH facility · other · outpatient | 6 | $155 | $361 | $407 | 113% | 4,597–4,606 | $97 – $1.2k |
| 23 | Aspirus Wausau Hospital Wausau, WI other · outpatient | 4 | $101 | $209 | $222 | 106% | 4,562 | $44 – $591 |
| 24 | Stanford Health Care Stanford, CA other · outpatient | 1 | $1.7k | $1.7k | — | — | 4,434 | $1.7k – $1.7k |
| 25 | Miami Valley Hospital Jamestown, OH other · outpatient | 8 | $129 | $234 | $278 | 119% | 4,328–4,337 | $127 – $968 |
← Payers reporting APC 5522 · Snapshot 20261111T120946Z-9134e7f7