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
$81
Average
$1.0k
Median
$814
High
$6.6k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
671 hospitals; the 90th percentile is 3.4× 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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712 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 | Orlando Health, Inc. Orlando, FL other · outpatient | 5 | $1.3k | $1.3k | $902 | 69% | 4,074 | $405 – $2.9k |
| 2 | Vassar Brothers Medical Center Poughkeepsie, NY other · outpatient | 4 | $638 | $1.4k | $1.4k | 104% | 2,689–2,698 | $391 – $3.9k |
| 3 | Endeavor Health Clinical Operations Skokie, IL other · outpatient | 3 | $1.1k | $988 | $303 | 31% | 2,596 | $563 – $1.3k |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 4 | $2.9k | $2.3k | $1.0k | 44% | 2,411 | $539 – $2.9k |
| 5 | University of Washington Medical Center Seattle, WA other · outpatient | 6 | $1.4k | $1.3k | $589 | 47% | 2,399–2,408 | $356 – $1.9k |
| 6 | The Miriam Hospital Providence, RI facility · other · outpatient | 5 | $589 | $1.3k | $1.5k | 115% | 2,081–2,090 | $246 – $4.4k |
| 7 | MUSC Medical Center Charleston, SC facility · other · outpatient | 4 | $624 | $820 | $386 | 47% | 1,966–1,975 | $549 – $1.5k |
| 8 | UCSF Langely Porter Psychiatic Hospital San Francisco, CA other · outpatient | 6 | $3.8k | $3.0k | $1.5k | 51% | 1,760–1,778 | $804 – $4.6k |
| 9 | Ucsf Medical Center San Francisco, CA other · outpatient | 6 | $3.8k | $3.0k | $1.5k | 51% | 1,760–1,778 | $804 – $4.6k |
| 10 | Parkview Regional Medical Center Fort Wayne, IN facility · other · outpatient | 4 | $789 | $1.2k | $912 | 74% | 1,748 | $566 – $2.8k |
| 11 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 3 | $510 | $948 | $683 | 72% | 1,685 | $421 – $1.9k |
| 12 | Wellstar Kennestone Hospital Marietta, GA facility · other · outpatient | 2 | $1.2k | $1.2k | $611 | 53% | 1,592 | $548 – $1.8k |
| 13 | Danbury Hospital New Milford, CT other · outpatient | 2 | $1.1k | $1.1k | $415 | 39% | 1,427 | $642 – $1.5k |
| 14 | Grant Medical Center Columbus, OH other · outpatient | 4 | $1.0k | $1.0k | $528 | 53% | 1,413 | $454 – $1.6k |
| 15 | Saint Francis Hospital Yale Tulsa, OK other · outpatient | 2 | $1.3k | $1.3k | $770 | 60% | 1,304 | $508 – $2.0k |
| 16 | The Good Samaritan Hospital of Cincinnati, OH Cincinnati, OH facility · other · outpatient | 3 | $510 | $940 | $689 | 73% | 1,299 | $399 – $1.9k |
| 17 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 4 | $3.1k | $2.6k | $1.2k | 47% | 1,246–1,255 | $540 – $3.7k |
| 18 | Naples Community Hospital Naples, FL other · outpatient | 4 | $953 | $916 | $298 | 33% | 1,239–1,248 | $548 – $1.2k |
| 19 | Riverside Methodist Hospital Columbus, OH other · outpatient | 4 | $1.0k | $1.0k | $544 | 54% | 1,213 | $420 – $1.6k |
| 20 | Providence Health And Services - Washington Spokane, WA other · outpatient | 5 | $1.3k | $1.2k | $496 | 42% | 1,151–1,178 | $589 – $1.7k |
| 21 | University of Cincinnati Medical Center, LLC Cincinnati, OH other · outpatient | 3 | $485 | $958 | $869 | 91% | 1,134 | $212 – $2.2k |
| 22 | Rochester General Hospital Rochester, NY facility · other · outpatient | 4 | $665 | $826 | $455 | 55% | 1,108 | $386 – $1.6k |
| 23 | St Josephs Hospital - Savannah Savannah, GA other · outpatient | 3 | $505 | $667 | $236 | 35% | 995–1,004 | $496 – $1k |
| 24 | Stanford Health Care Stanford, CA other · outpatient | 1 | $6.6k | $6.6k | — | — | 986 | $6.6k – $6.6k |
| 25 | The Methodist Hospital Houston, TX other · outpatient | 3 | $638 | $1.7k | $1.6k | 92% | 938 | $556 – $3.9k |
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