APC 5524
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 4 Imaging without Contrast
Low
$400
Average
$1.2k
Median
$889
High
$3.0k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
43 payers; the 90th percentile is 4.0× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield other · outpatient · +8 other terms | 233 | $1.2k | $1.6k | $1.6k | 101% | 111,061–113,797 | $10 – $14.1k |
| 2 | UnitedHealthcare other · outpatient · +8 other terms | 245 | $1.1k | $1.3k | $1.1k | 84% | 68,165–70,046 | $60 – $7.6k |
| 3 | Aetna other · outpatient · +8 other terms | 225 | $1.1k | $1.8k | $8.7k | 496% | 45,123–46,707 | $191 – $193.8k |
| 4 | Humana other · outpatient · +7 other terms | 195 | $563 | $643 | $552 | 86% | 24,348–25,077 | $107 – $6.8k |
| 5 | Cigna other · outpatient · +6 other terms | 177 | $1.9k | $2.4k | $2.2k | 94% | 15,822–17,028 | $180 – $27.7k |
| 6 | Molina other · outpatient · +7 other terms | 99 | $466 | $712 | $772 | 108% | 7,073–7,847 | $128 – $5.7k |
| 7 | Excellus facility · other · outpatient · +1 other terms | 8 | $1.0k | $1.0k | $923 | 92% | 6,037–6,082 | $245 – $3.0k |
| 8 | Medical Mutual other · outpatient · +4 other terms | 23 | $1.3k | $1.3k | $810 | 61% | 2,814–3,030 | $205 – $3.7k |
| 9 | Oscar facility · other · outpatient · +5 other terms | 38 | $940 | $1.1k | $393 | 37% | 1,941–2,058 | $594 – $3.2k |
| 10 | Caresource facility · other · outpatient · +3 other terms | 33 | $689 | $740 | $378 | 51% | 1,660–1,966 | $245 – $2.4k |
| 11 | Ambetter facility · other · outpatient · +5 other terms | 28 | $835 | $961 | $393 | 41% | 1,536–1,644 | $522 – $2.8k |
| 12 | Optum facility · other · outpatient · +4 other terms | 38 | $619 | $1.3k | $1.1k | 85% | 1,394–1,619 | $263 – $4.3k |
| 13 | Healthpartners other · outpatient · +1 other terms | 7 | $1.5k | $2.1k | $1.3k | 60% | 1,218–1,353 | $141 – $4.6k |
| 14 | Kaiser other · outpatient · +6 other terms | 29 | $2.2k | $3.3k | $3.9k | 118% | 781–1,069 | $577 – $24.0k |
| 15 | Bcbs Mn other · outpatient · +1 other terms | 1 | $683 | $683 | $259 | 38% | 612 | $385 – $1.1k |
| 16 | Bcbs Mi other · outpatient · +1 other terms | 3 | $697 | $636 | $214 | 34% | 356–374 | $237 – $848 |
| 17 | Highmark facility · other · outpatient · +2 other terms | 12 | $878 | $889 | $429 | 48% | 242–368 | $102 – $2.9k |
| 18 | Ucare facility · other · outpatient · +2 other terms | 3 | $624 | $602 | $67 | 11% | 236–245 | $508 – $711 |
| 19 | Clover facility · other · outpatient · +4 other terms | 21 | $576 | $607 | $50 | 8% | 165–246 | $365 – $660 |
| 20 | Tricare other · outpatient · +3 other terms | 17 | $587 | $748 | $338 | 45% | 102–228 | $114 – $1.6k |
| 21 | First Health other · outpatient · +4 other terms | 34 | $2.0k | $2.5k | $2.6k | 102% | 93–363 | $100 – $14.7k |
| 22 | Healthcare Highways other · outpatient · +1 other terms | 6 | $1.8k | $1.7k | $241 | 14% | 87–114 | $1.2k – $1.9k |
| 23 | Medicaid other · outpatient · +1 other terms | 5 | $374 | $513 | $353 | 69% | 78–114 | $229 – $1.2k |
| 24 | Phcs other · outpatient · +3 other terms | 13 | $2.3k | $2.9k | $2.1k | 71% | 13–130 | $125 – $8.2k |
| 25 | MultiPlan other · outpatient · +3 other terms | 12 | $996 | $1.6k | $1.7k | 103% | 12–120 | $40 – $5.2k |
← Hospitals reporting APC 5524 · Snapshot 20261111T120946Z-9134e7f7