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
Delaware, OH
See all hospitals reporting APC 5523 →Price type
Grady Memorial Hospital’s median price of $366 is 19% above the median hospital's median price ($309), higher than 62% 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: 9 payers, 24 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 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $226 | $226 | — | — | 154 | $226 – $226 |
| 2 | Humana medicare managed care plan other · outpatient | $226 | $226 | — | — | 202 | $226 – $226 |
| 3 | UnitedHealthcare medicare managed care plan other · outpatient | $226 | $226 | — | — | 205 | $226 – $226 |
| 4 | Aetna medicare managed care plan other · outpatient | $226 | $226 | — | — | 348 | $226 – $226 |
| 5 | Medical Mutual medicare managed care plan other · outpatient | $228 | $228 | — | — | 84 | $228 – $228 |
| 6 | Caresource medicare managed care plan other · outpatient | $229 | $229 | — | — | 1–10 | $229 – $229 |
| 7 | Devoted medicare managed care plan other · outpatient | $230 | $230 | — | — | 29 | $230 – $230 |
| 8 | Molina medicare managed care plan other · outpatient | $236 | $236 | — | — | 13 | $236 – $236 |
| 9 | Molina medicaid managed care plan other · outpatient | $331 | $331 | — | — | 70 | $331 – $331 |
| 10 | Caresource medicaid managed care plan other · outpatient | $347 | $347 | — | — | 154 | $347 – $347 |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $357 | $357 | — | — | 45 | $357 – $357 |
| 12 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $360 | $360 | — | — | 19 | $360 – $360 |
| 13 | Humana medicaid managed care plan other · outpatient | $376 | $376 | — | — | 35 | $376 – $376 |
| 14 | Medical Mutual exchange other · outpatient | $562 | $562 | — | — | 41 | $562 – $562 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $778 | $778 | — | — | 61 | $778 – $778 |
| 16 | Caresource exchange other · outpatient | $848 | $848 | — | — | 1–10 | $848 – $848 |
| 17 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.0k | $1.0k | — | — | 592 | $1.0k – $1.0k |
| 18 | Medical Mutual all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 205 | $1.3k – $1.3k |
| 19 | Aetna all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 278 | $1.3k – $1.3k |
| 20 | Cigna great west other commercial plan other · outpatient | $1.4k | $1.4k | — | — | 17 | $1.4k – $1.4k |
| 21 | Cigna hmo other · outpatient | $1.5k | $1.5k | — | — | 96 | $1.5k – $1.5k |
| 22 | Cigna ppo other · outpatient | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 23 | UnitedHealthcare all commercial plans other · outpatient | $1.5k | $1.5k | — | — | 527 | $1.5k – $1.5k |
| 24 | UnitedHealthcare options ppo other · outpatient | $1.6k | $1.6k | — | — | 17 | $1.6k – $1.6k |
Last updated: Apr 1, 2026
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