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
$85
Average
$147
Median
$110
High
$2.7k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
314 hospitals; the 90th percentile is 1.4× 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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314 hospital rates
iThe hospitals that file a WellCare 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 | AdventHealth Deland Deland, FL other · outpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 2 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $172 | — | — | 11 | $172 – $172 |
| 3 | Adventhealth Central Texas Killeen, TX other · outpatient | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 4 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 5 | Adventhealth Manchester Manchester, KY other · outpatient | 2 | $195 | $195 | $91 | 47% | 1,131–1,140 | $104 – $285 |
| 6 | Adventhealth Palm Coast Parkway Palm Coast, FL other · outpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 7 | Adventhealth Port Charlotte Port Charlotte, FL other · outpatient | 1 | $120 | $120 | — | — | 1–10 | $120 – $120 |
| 8 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 1 | $98 | $98 | — | — | 1–10 | $98 – $98 |
| 9 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 2 | $113 | $119 | $23 | 19% | — | $88 – $143 |
| 10 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 1 | $109 | $109 | — | — | 125 | $109 – $109 |
| 11 | Aiken Regional Medical Centers North Augusta, SC fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 12 | BELTON REGIONAL MEDICAL CENTER Kansas City, MO fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 13 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 14 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $115 | $115 | — | — | 58 | $115 – $115 |
| 15 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $116 | $116 | — | — | 98 | $116 – $116 |
| 16 | Bradley Medical Center Cleveland, TN facility · other · outpatient | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 17 | Brandon HMA LLC Brandon, MS facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 18 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 19 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO fee schedule · outpatient | 1 | $114 | $114 | — | — | — | $114 – $114 |
| 20 | CENTERPOINT MEDICAL CENTER Independence, MO fee schedule · outpatient | 1 | $107 | $107 | — | — | — | $107 – $107 |
| 21 | CORNING HOSPITAL Corning, NY facility · fee schedule · outpatient | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 22 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $110 | $110 | — | — | 303 | $110 – $110 |
| 23 | Campbell County HMA, LLC LaFollette, TN facility · fee schedule · outpatient | 1 | $102 | $99 | $4 | 4% | — | $91 – $102 |
| 24 | Canton-Potsdam Hospital Potsdam, NY facility · other · outpatient | 2 | $135 | $135 | $1 | 0% | 265 | $135 – $136 |
| 25 | Children's Memorial Hermann Hospital Houston, TX facility · other · outpatient | 1 | $107 | $107 | — | — | 20 | $107 – $107 |
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