APC 5524
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 4 Imaging without Contrast
Delaware, OH
See all hospitals reporting APC 5524 →Price type
Grady Memorial Hospital’s median price of $515 is 15% below the median hospital's median price ($607), higher than 5% of the 728 hospitals reporting APC 5524. 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, 22 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 | $414 | $414 | — | — | 1–10 | $414 – $414 |
| 2 | Molina medicare managed care plan other · outpatient | $426 | $426 | — | — | 1–10 | $426 – $426 |
| 3 | Molina medicaid managed care plan other · outpatient | $457 | $457 | — | — | 17 | $457 – $457 |
| 4 | Caresource medicaid managed care plan other · outpatient | $480 | $480 | — | — | 25 | $480 – $480 |
| 5 | UnitedHealthcare medicaid managed care plan other · outpatient | $493 | $493 | — | — | 11 | $493 – $493 |
| 6 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $498 | $498 | — | — | 1–10 | $498 – $498 |
| 7 | Medical Mutual medicare managed care plan other · outpatient | $512 | $512 | — | — | 50 | $512 – $512 |
| 8 | UnitedHealthcare medicare managed care plan other · outpatient | $512 | $512 | — | — | 113 | $512 – $512 |
| 9 | Aetna medicare managed care plan other · outpatient | $512 | $512 | — | — | 189 | $512 – $512 |
| 10 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $514 | $514 | — | — | 101 | $514 – $514 |
| 11 | Humana medicare managed care plan other · outpatient | $515 | $515 | — | — | 148 | $515 – $515 |
| 12 | Humana medicaid managed care plan other · outpatient | $520 | $520 | — | — | 1–10 | $520 – $520 |
| 13 | Devoted medicare managed care plan other · outpatient | $522 | $522 | — | — | 21 | $522 – $522 |
| 14 | Medical Mutual exchange other · outpatient | $713 | $713 | — | — | 13 | $713 – $713 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $987 | $987 | — | — | 21 | $987 – $987 |
| 16 | Medical Mutual all commercial plans other · outpatient | $1.6k | $1.6k | — | — | 58 | $1.6k – $1.6k |
| 17 | Aetna all commercial plans other · outpatient | $1.6k | $1.6k | — | — | 84 | $1.6k – $1.6k |
| 18 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.7k | $1.7k | — | — | 147 | $1.7k – $1.7k |
| 19 | Cigna hmo other · outpatient | $1.8k | $1.8k | — | — | 26 | $1.8k – $1.8k |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $1.8k | $1.8k | — | — | 150 | $1.8k – $1.8k |
| 21 | Cigna great west other commercial plan other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
| 22 | UnitedHealthcare options ppo other · outpatient | $1.8k | $1.8k | — | — | 1–10 | $1.8k – $1.8k |
Last updated: Apr 1, 2026
See Imaging scan at level 4 without contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.