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
Grove City, OH
See all hospitals reporting APC 5523 →Price type
Grove City Methodist’s median price of $340 is 10% above the median hospital's median price ($309), higher than 56% 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, 26 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 | Devoted medicare managed care plan other · outpatient | $218 | $218 | — | — | 33 | $218 – $218 |
| 2 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $219 | $219 | — | — | 210 | $219 – $219 |
| 3 | Humana medicare managed care plan other · outpatient | $219 | $219 | — | — | 346 | $219 – $219 |
| 4 | Medical Mutual medicare managed care plan other · outpatient | $219 | $219 | — | — | 40 | $219 – $219 |
| 5 | Aetna medicare managed care plan other · outpatient | $220 | $220 | — | — | 308 | $220 – $220 |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $221 | $221 | — | — | 286 | $221 – $221 |
| 7 | Caresource medicare managed care plan other · outpatient | $222 | $222 | — | — | 1–10 | $222 – $222 |
| 8 | Molina medicare managed care plan other · outpatient | $229 | $229 | — | — | 51 | $229 – $229 |
| 9 | UnitedHealthcare medicaid managed care plan other · outpatient | $323 | $323 | — | — | 104 | $323 – $323 |
| 10 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $326 | $326 | — | — | 86 | $326 – $326 |
| 11 | Humana medicaid managed care plan other · outpatient | $340 | $340 | — | — | 81 | $340 – $340 |
| 12 | Molina medicaid managed care plan other · outpatient | $340 | $340 | — | — | 199 | $340 – $340 |
| 13 | Caresource medicaid managed care plan other · outpatient | $381 | $381 | — | — | 472 | $381 – $381 |
| 14 | Caresource exchange other · outpatient | $514 | $514 | — | — | 1–10 | $514 – $514 |
| 15 | Blue Cross Blue Shield pathway exchange other · outpatient | $537 | $537 | — | — | 49 | $537 – $537 |
| 16 | Medical Mutual exchange other · outpatient | $600 | $600 | — | — | 13 | $600 – $600 |
| 17 | Blue Cross Blue Shield anthem traditional other · outpatient | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 18 | Cigna hmo other · outpatient | $1.1k | $1.1k | — | — | 79 | $1.1k – $1.1k |
| 19 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $1.1k | $1.1k | — | — | 610 | $1.1k – $1.1k |
| 20 | Aetna all commercial plans other · outpatient | $1.2k | $1.2k | — | — | 198 | $1.2k – $1.2k |
| 21 | Medical Mutual all commercial plans other · outpatient | $1.2k | $1.2k | — | — | 187 | $1.2k – $1.2k |
| 22 | Aetna asa other commercial plan other · outpatient | $1.3k | $1.3k | — | — | 56 | $1.3k – $1.3k |
| 23 | UnitedHealthcare all commercial plans other · outpatient | $1.3k | $1.3k | — | — | 140 | $1.3k – $1.3k |
| 24 | Cigna great west other commercial plan other · outpatient | $1.3k | $1.3k | — | — | 22 | $1.3k – $1.3k |
| 25 | UnitedHealthcare options other commercial plan other · outpatient | $1.4k | $1.4k | — | — | 417 | $1.4k – $1.4k |
Last updated: Apr 1, 2026
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