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
Devils Lake, ND
See all hospitals reporting APC 5523 →Price type
Altru Hospital Devils Lake’s median price of $384 is 24% above the median hospital's median price ($309), higher than 65% of the 744 hospitals reporting APC 5523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $222 | $222 | — | — | 18 | $222 – $222 |
| 2 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $254 | $254 | — | — | 228 | $254 – $254 |
| 3 | Humana medicare managed care plan facility · other · outpatient | $257 | $257 | — | — | 112 | $257 – $257 |
| 4 | Aetna medicare managed care plan facility · other · outpatient | $298 | $298 | — | — | 40 | $298 – $298 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · other · outpatient | $300 | $300 | $202 | 67% | 242–251 | $98 – $502 |
| 6 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $322 | $322 | $57 | 18% | 648 | $265 – $379 |
| 7 | Aetna all commercial plans facility · other · outpatient | $336 | $336 | — | — | 24 | $336 – $336 |
| 8 | Blue Cross Blue Shield all commercial plans facility · other · outpatient | $434 | $359 | $190 | 53% | 1,683 | $98 – $545 |
| 9 | Medica medicare managed care plan facility · other · outpatient | $366 | $366 | — | — | 251 | $366 – $366 |
| 10 | Sanford Health Plan all commercial plans facility · other · outpatient | $377 | $377 | — | — | 357 | $377 – $377 |
| 11 | Ucare medicaid managed care plan – hmo facility · other · outpatient | $389 | $389 | — | — | 13 | $389 – $389 |
| 12 | Ucare medicare managed care plan facility · other · outpatient | $389 | $389 | — | — | 75 | $389 – $389 |
| 13 | Optum all commercial plans facility · other · outpatient | $397 | $397 | — | — | 299 | $397 – $397 |
| 14 | UnitedHealthcare all commercial plans facility · other · outpatient | $469 | $469 | — | — | 90 | $469 – $469 |
| 15 | UnitedHealthcare medicaid managed care plan – hmo facility · other · outpatient | $469 | $469 | — | — | 23 | $469 – $469 |
| 16 | Medica medicaid managed care plan – hmo facility · other · outpatient | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 17 | Medica all commercial plans facility · other · outpatient | $1.7k | $1.7k | — | — | 168 | $1.7k – $1.7k |
Last updated: Mar 1, 2026
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