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
$158
Average
$730
Median
$409
High
$5.4k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
693 hospitals; the 90th percentile is 6.5× 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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738 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 | University of Washington Medical Center Seattle, WA other · outpatient | 5 | $533 | $577 | $326 | 56% | 3,260 | $196 – $1.0k |
| 2 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $304 | $396 | $189 | 48% | 3,225 | $225 – $660 |
| 3 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 3 | $246 | $844 | $852 | 101% | 3,111 | $238 – $2.0k |
| 4 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $1.9k | $1.5k | $871 | 60% | 3,022 | $247 – $2.3k |
| 5 | The Methodist Hospital Houston, TX other · outpatient | 3 | $243 | $856 | $870 | 102% | 2,964 | $238 – $2.1k |
| 6 | Grant Medical Center Columbus, OH other · outpatient | 4 | $840 | $824 | $547 | 66% | 2,937 | $228 – $1.4k |
| 7 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $479 | $429 | $103 | 24% | 2,907 | $251 – $505 |
| 8 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $787 | $785 | $523 | 67% | 2,865 | $223 – $1.3k |
| 9 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 6 | $2.5k | $2.2k | $1.4k | 65% | 2,565–2,583 | $354 – $3.8k |
| 10 | Ucsf Medical Center San Francisco, CA other · outpatient | 6 | $2.5k | $2.2k | $1.4k | 65% | 2,565–2,583 | $354 – $3.8k |
| 11 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 4 | $583 | $497 | $149 | 30% | 2,522 | $239 – $583 |
| 12 | Summa Health System Wadsworth, OH other · outpatient | 4 | $336 | $428 | $234 | 55% | 2,060–2,069 | $219 – $821 |
| 13 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 3 | $246 | $844 | $851 | 101% | 2,049 | $238 – $2.0k |
| 14 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 3 | $275 | $386 | $194 | 50% | 2,038 | $225 – $660 |
| 15 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $472 | $533 | $383 | 72% | 1,983 | $176 – $1.3k |
| 16 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 4 | $955 | $848 | $407 | 48% | 1,879 | $236 – $1.2k |
| 17 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $522 | $522 | $279 | 53% | 1,873 | $243 – $801 |
| 18 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $878 | $878 | $663 | 75% | 1,839 | $216 – $1.5k |
| 19 | Stanford Health Care Stanford, CA other · outpatient | 1 | $5.4k | $5.4k | — | — | 1,838 | $5.4k – $5.4k |
| 20 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 3 | $349 | $697 | $639 | 92% | 1,777 | $149 – $1.6k |
| 21 | Northeast Georgia Medical Center, Inc. Gainesville, GA other · outpatient | 2 | $210 | $210 | $25 | 12% | 1,712 | $185 – $236 |
| 22 | Northeast Georgia Medical Center, Inc. Braselton, GA other · outpatient | 2 | $210 | $210 | $25 | 12% | 1,712 | $185 – $236 |
| 23 | Miami Valley Hospital Jamestown, OH other · outpatient | 8 | $273 | $256 | $51 | 20% | 1,691–1,718 | $123 – $283 |
| 24 | Marietta Memorial Hospital Belpre, OH facility · other · outpatient | 4 | $312 | $821 | $937 | 114% | 1,679 | $220 – $2.4k |
| 25 | SSM Health Care of Oklahoma, Inc Oklahoma City, OK other · outpatient | 3 | $230 | $902 | $969 | 107% | 1,669 | $205 – $2.3k |
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