APC 5522
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
Eagle River, WI
See all hospitals reporting APC 5522 →Price type
Aspirus Eagle River Hospital’s median price of $373 is 180% above the median hospital's median price ($133), higher than 85% of the 741 hospitals reporting APC 5522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 21 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 | UnitedHealthcare united healthcare wisconsin medicaid plans other · outpatient | $174 | $174 | — | — | 20 | $174 – $174 |
| 2 | Tricare tricare plans other · outpatient | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 3 | Anthem anthem mediblue plus hmo other · outpatient | $187 | $187 | — | — | 19 | $187 – $187 |
| 4 | Anthem anthem wisconsin medicaid plans other · outpatient | $194 | $194 | — | — | 15 | $194 – $194 |
| 5 | Anthem anthem medicare advantage plans other · outpatient | $195 | $195 | — | — | 25 | $195 – $195 |
| 6 | Humana humana medicare ppo/pos/hmo network plans other · outpatient | $270 | $270 | — | — | 36 | $270 – $270 |
| 7 | UnitedHealthcare united healthcare medicare advantage plans other · outpatient | $275 | $275 | — | — | 151 | $275 – $275 |
| 8 | Anthem anthem mediblue access ppo other · outpatient | $307 | $307 | — | — | 30 | $307 – $307 |
| 9 | Aetna medicare advantage esa other · outpatient | $347 | $347 | — | — | 15 | $347 – $347 |
| 10 | First Health first health national rental ppo network percent of total billed charges · outpatientfrom % of charges | $373 | $373 | — | — | 1–10 | $373 – $373 |
| 11 | Cigna cigna ppo and open access plus benefit plans percent of total billed charges · outpatientfrom % of charges | $406 | $406 | — | — | 1–10 | $406 – $406 |
| 12 | Anthem anthem federal employee program other · outpatient | $496 | $496 | — | — | 1–10 | $496 – $496 |
| 13 | Anthem anthem mediblue dual hmo snp other · outpatient | $506 | $506 | — | — | 12 | $506 – $506 |
| 14 | UnitedHealthcare va community care network other · outpatient | $589 | $589 | — | — | 68 | $589 – $589 |
| 15 | UnitedHealthcare united healthcare hmo/ppo/pos/epo networks other · outpatient | $686 | $686 | — | — | 65 | $686 – $686 |
| 16 | Anthem anthem blue preferred hmo other · outpatient | $687 | $687 | — | — | 1–10 | $687 – $687 |
| 17 | Anthem anthem blue preferred pos other · outpatient | $700 | $700 | — | — | 44 | $700 – $700 |
| 18 | Healthpartners health partners commercial ppo percent of total billed charges · outpatientfrom % of charges | $925 | $925 | — | — | 1–10 | $925 – $925 |
| 19 | MultiPlan aetna health plan ppo networks percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Anthem anthem blue access ppo other · outpatient | $1.7k | $1.7k | — | — | 18 | $1.7k – $1.7k |
| 21 | MultiPlan phcs ppo networks percent of total billed charges · outpatientfrom % of charges | $3.4k | $3.4k | — | — | 1–10 | $3.4k – $3.4k |
Last updated: Apr 1, 2026
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