APC 5522

Level 2 Imaging without Contrast at Altru Hospital Devils Lake

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

Devils Lake, ND

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How this price compares nationally

Altru Hospital Devils Lake’s median price of $153 is 15% above the median hospital's median price ($133), higher than 57% of the 745 hospitals reporting APC 5522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5522 at Altru Hospital Devils Lake

Negotiated rates from the hospital’s own file: 8 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Ucare all commercial plans facility · other · outpatient	$98	$98	—	—	65	$98 – $98
2	Aetna medicare managed care plan facility · other · outpatient	$114	$114	—	—	80	$114 – $114
3	Humana medicare managed care plan facility · other · outpatient	$114	$114	—	—	232	$114 – $114
4	Optum all commercial plans facility · other · outpatient	$114	$114	—	—	613	$114 – $114
5	Blue Cross Blue Shield medicaid managed care plan facility · other · outpatient	$126	$126	$82	65%	651	$44 – $208
6	Ucare medicare managed care plan facility · other · outpatient	$135	$135	—	—	182	$135 – $135
7	UnitedHealthcare medicare managed care plan facility · other · outpatient	$135	$135	—	—	440	$135 – $135
8	Medica medicare managed care plan facility · other · outpatient	$136	$136	—	—	502	$136 – $136
9	Blue Cross Blue Shield medicare managed care plan facility · other · outpatient	$138	$138	$2	2%	1,237	$135 – $140
10	Blue Cross Blue Shield all commercial plans facility · other · outpatient	$187	$146	$64	44%	7,302	$55 – $196
11	Sanford Health Plan all commercial plans facility · other · outpatient	$166	$166	—	—	1,740	$166 – $166
12	Ucare medicaid managed care plan – hmo facility · other · outpatient	$204	$204	—	—	24	$204 – $204
13	Aetna all commercial plans facility · other · outpatient	$204	$204	—	—	104	$204 – $204
14	UnitedHealthcare all commercial plans facility · other · outpatient	$206	$206	—	—	332	$206 – $206
15	UnitedHealthcare medicaid managed care plan – hmo facility · other · outpatient	$206	$206	—	—	131	$206 – $206
16	Medica all commercial plans facility · other · outpatient	$386	$386	—	—	835	$386 – $386
17	Medica medicaid managed care plan – hmo facility · other · outpatient	$418	$418	—	—	36	$418 – $418

Last updated: Mar 1, 2026

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