APC 5522

Level 2 Imaging without Contrast at Aspirus Tomahawk Hospital

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

Tomahawk, WI

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How this price compares nationally

Aspirus Tomahawk Hospital’s median price of $309 is 132% above the median hospital's median price ($133), higher than 80% of the 741 hospitals reporting APC 5522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5522 at Aspirus Tomahawk Hospital

Negotiated rates from the hospital’s own file: 9 payers, 20 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	$114	$114	—	—	20	$114 – $114
2	Tricare tricare plans other · outpatient	$136	$136	—	—	1–10	$136 – $136
3	Humana humana medicare ppo/pos/hmo network plans other · outpatient	$186	$186	—	—	27	$186 – $186
4	Anthem anthem mediblue access ppo other · outpatient	$197	$197	—	—	27	$197 – $197
5	Anthem anthem mediblue plus hmo other · outpatient	$244	$244	—	—	76	$244 – $244
6	Anthem anthem mediblue dual hmo snp other · outpatient	$244	$244	—	—	31	$244 – $244
7	Anthem anthem wisconsin medicaid plans other · outpatient	$247	$247	—	—	15	$247 – $247
8	UnitedHealthcare united healthcare medicare advantage plans other · outpatient	$274	$274	—	—	213	$274 – $274
9	Anthem anthem blue preferred hmo other · outpatient	$276	$276	—	—	1–10	$276 – $276
10	Anthem anthem medicare advantage plans other · outpatient	$278	$278	—	—	54	$278 – $278
11	Aetna medicare advantage esa other · outpatient	$340	$340	—	—	1–10	$340 – $340
12	Healthpartners health partners commercial ppo percent of total billed charges · outpatientfrom % of charges	$414	$414	—	—	1–10	$414 – $414
13	Anthem anthem federal employee program other · outpatient	$478	$478	—	—	15	$478 – $478
14	Anthem anthem blue access ppo other · outpatient	$496	$496	—	—	27	$496 – $496
15	Cigna cigna ppo and open access plus benefit plans percent of total billed charges · outpatientfrom % of charges	$563	$563	—	—	1–10	$563 – $563
16	MultiPlan aetna health plan ppo networks percent of total billed charges · outpatientfrom % of charges	$575	$575	—	—	1–10	$575 – $575
17	Anthem anthem blue preferred pos other · outpatient	$575	$575	—	—	69	$575 – $575
18	First Health first health national rental ppo network percent of total billed charges · outpatientfrom % of charges	$591	$591	—	—	1–10	$591 – $591
19	UnitedHealthcare va community care network other · outpatient	$632	$632	—	—	90	$632 – $632
20	UnitedHealthcare united healthcare hmo/ppo/pos/epo networks other · outpatient	$687	$687	—	—	64	$687 – $687

Last updated: Apr 1, 2026

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