APC 5523
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.
Original text from hospital filings
Level 3 Imaging without Contrast
Low
$200
Average
$2.3k
Median
$918
High
$19.5k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
81 hospitals; the 90th percentile is 11.6× 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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81 hospital rates
iThe hospitals that file a First Health 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 New Smyrna Beach New Smyrna Beach, FL percent of total billed charges · outpatientfrom % of charges | 1 | $632 | $632 | — | — | 1–10 | $632 – $632 |
| 2 | AdventHealth Orlando Winter Park, FL percent of total billed charges · outpatientfrom % of charges | 1 | $411 | $411 | — | — | 1–10 | $411 – $411 |
| 3 | Adventhealth Sebring Sebring, FL percent of total billed charges · outpatientfrom % of charges | 1 | $411 | $411 | — | — | 1–10 | $411 – $411 |
| 4 | Alomere Health Alexandria, MN facility · other · outpatient | 1 | $254 | $254 | — | — | 1–10 | $254 – $254 |
| 5 | Aspirus Divine Savior Hospital Portage, WI percent of total billed charges · outpatientfrom % of charges | 1 | $622 | $622 | — | — | 1–10 | $622 – $622 |
| 6 | Aspirus Eagle River Hospital Eagle River, WI percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 7 | Aspirus Ironwood Hospital Ironwood, MI percent of total billed charges · outpatientfrom % of charges | 1 | $9.6k | $9.6k | — | — | 1–10 | $9.6k – $9.6k |
| 8 | Aspirus Langlade Hospital Antigo, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | 1–10 | $2.4k – $2.4k |
| 9 | Aspirus Medford Hospital Medford, WI percent of total billed charges · outpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | 1–10 | $8.1k – $8.1k |
| 10 | Aspirus Rhinelander Hospital Rhinelander, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 11 | Aspirus St. Luke’s Hospital Duluth, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 12 | Aspirus Stevens Point Hospital Stevens Point, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | 1–10 | $3.8k – $3.8k |
| 13 | Aspirus Wausau Hospital Wausau, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 14 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI percent of total billed charges · outpatientfrom % of charges | 1 | $8.0k | $8.0k | — | — | 1–10 | $8.0k – $8.0k |
| 15 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $623 | $623 | — | — | 119 | $623 – $623 |
| 16 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $902 | $902 | — | — | 77 | $902 – $902 |
| 17 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $201 | $201 | — | — | 1–10 | $201 – $201 |
| 18 | Covenant Medical Center Lubbock, TX other · outpatient | 1 | $938 | $938 | — | — | 1–10 | $938 – $938 |
| 19 | Grant Medical Center Columbus, OH other · outpatient | 1 | $662 | $662 | — | — | 1–10 | $662 – $662 |
| 20 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 1 | $589 | $589 | — | — | 16 | $589 – $589 |
| 21 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $530 | $530 | — | — | 1–10 | $530 – $530 |
| 22 | Houston Methodist Cypress Hospital Cypress, TX other · outpatient | 1 | $1.4k | $1.4k | — | — | 1–10 | $1.4k – $1.4k |
| 23 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $530 | $530 | — | — | 11 | $530 – $530 |
| 24 | Kadlec Regional Medical Center Kennewick, WA percent of total billed charges · outpatientfrom % of charges | 1 | $564 | $564 | — | — | 1–10 | $564 – $564 |
| 25 | Keck Hospital of USC Los Angeles, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
← Payers reporting APC 5523 · Snapshot 20261111T120946Z-9134e7f7