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
Perry, GA
See all hospitals reporting APC 5523 →Price type
Houston Hospitals Inc’s median price of $233 is 24% below the median hospital's median price ($309), higher than 7% 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: 8 payers, 14 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Clover medicare managed care plan facility · other · outpatient | $19 | $19 | — | — | 1–10 | $19 – $19 |
| 2 | Blue Cross Blue Shield medicare managed care plan facility · other · outpatient | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 3 | UnitedHealthcare medicare managed care plan facility · other · outpatient | $216 | $216 | — | — | 16 | $216 – $216 |
| 4 | Caresource medicaid managed care plan facility · other · outpatient | $217 | $217 | — | — | 1–10 | $217 – $217 |
| 5 | Humana medicare managed care plan facility · other · outpatient | $220 | $220 | — | — | 1–10 | $220 – $220 |
| 6 | Aetna medicare managed care plan facility · other · outpatient | $224 | $224 | — | — | 1–10 | $224 – $224 |
| 7 | Ambetter peach state exchange facility · other · outpatient | $231 | $231 | — | — | 1–10 | $231 – $231 |
| 8 | UnitedHealthcare all commercial plans facility · other · outpatient | $233 | $233 | — | — | 1–10 | $233 – $233 |
| 9 | Blue Cross Blue Shield pathway exchange facility · other · outpatient | $328 | $328 | — | — | 1–10 | $328 – $328 |
| 10 | Blue Cross Blue Shield hmo facility · other · outpatient | $585 | $585 | — | — | 12 | $585 – $585 |
| 11 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $618 | $618 | — | — | 13 | $618 – $618 |
| 12 | Blue Cross Blue Shield ppo facility · other · outpatient | $646 | $646 | — | — | 15 | $646 – $646 |
| 13 | Cigna all commercial plans facility · other · outpatient | $689 | $689 | — | — | 1–10 | $689 – $689 |
| 14 | Aetna hmo facility · other · outpatient | $2.7k | $2.7k | — | — | 1–10 | $2.7k – $2.7k |
Last updated: Apr 1, 2026
See Imaging scan without contrast dye pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.