APC 5523

Imaging scan without contrast dye at Dublin Methodist 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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 3 Imaging without Contrast

Dublin, OH

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Pricing by billing methodology

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How this price compares nationally

Dublin Methodist Hospital’s median price of $318 is 3% above the median hospital's median price ($308), higher than 52% of the 740 hospitals reporting APC 5523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5523 at Dublin Methodist Hospital

Negotiated rates from the hospital’s own file: 9 payers, 27 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	Caresource medicare managed care plan other · outpatient	$182	$182	—	—	1–10	$182 – $182
2	Devoted medicare managed care plan other · outpatient	$187	$187	—	—	1–10	$187 – $187
3	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$220	$220	—	—	58	$220 – $220
4	Humana medicare managed care plan other · outpatient	$226	$226	—	—	147	$226 – $226
5	Aetna medicare managed care plan other · outpatient	$226	$226	—	—	312	$226 – $226
6	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$226	$226	—	—	105	$226 – $226
7	Medical Mutual medicare managed care plan other · outpatient	$227	$227	—	—	60	$227 – $227
8	UnitedHealthcare medicare managed care plan other · outpatient	$228	$228	—	—	166	$228 – $228
9	Humana medicaid managed care plan other · outpatient	$230	$230	—	—	51	$230 – $230
10	Molina medicaid managed care plan other · outpatient	$230	$230	—	—	95	$230 – $230
11	Molina medicare managed care plan other · outpatient	$236	$236	—	—	14	$236 – $236
12	Caresource medicaid managed care plan other · outpatient	$258	$258	—	—	257	$258 – $258
13	UnitedHealthcare medicaid managed care plan other · outpatient	$318	$318	—	—	61	$318 – $318
14	Blue Cross Blue Shield anthem traditional other · outpatient	$396	$396	—	—	1–10	$396 – $396
15	Caresource exchange other · outpatient	$399	$399	—	—	1–10	$399 – $399
16	Medical Mutual traditional other · outpatient	$434	$434	—	—	1–10	$434 – $434
17	Blue Cross Blue Shield pathway exchange other · outpatient	$551	$551	—	—	64	$551 – $551
18	Medical Mutual exchange other · outpatient	$594	$594	—	—	26	$594 – $594
19	Cigna hmo other · outpatient	$809	$809	—	—	107	$809 – $809
20	UnitedHealthcare all commercial plans other · outpatient	$887	$887	—	—	227	$887 – $887
21	Cigna great west other commercial plan other · outpatient	$967	$967	—	—	36	$967 – $967
22	Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient	$981	$981	—	—	804	$981 – $981
23	Cigna ppo other · outpatient	$1.1k	$1.1k	—	—	1–10	$1.1k – $1.1k
24	Aetna all commercial plans other · outpatient	$1.1k	$1.1k	—	—	294	$1.1k – $1.1k
25	Medical Mutual all commercial plans other · outpatient	$1.2k	$1.2k	—	—	216	$1.2k – $1.2k

Page 1 of 2 · 27 rates

Last updated: Apr 1, 2026

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