APC 5522
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.
Generation details were not recorded for this description.
Original text from hospital filings
Level 2 Imaging without Contrast
Plainview, TX
See all hospitals reporting APC 5522 →Price type
Methodist Hospital Plainview’s median price of $290 is 118% above the median hospital's median price ($133), higher than 79% of the 741 hospitals reporting APC 5522. 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, 16 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 | Aetna medicare managed care plan other · outpatient | $105 | $105 | — | — | 53 | $105 – $105 |
| 2 | UnitedHealthcare medicare managed care plan other · outpatient | $105 | $105 | — | — | 445 | $105 – $105 |
| 3 | Humana medicare managed care plan other · outpatient | $107 | $107 | — | — | 121 | $107 – $107 |
| 4 | Blue Cross Blue Shield medicare managed care plan other · outpatient | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 5 | Blue Cross Blue Shield vapc3 government other · outpatient | $107 | $107 | — | — | 50 | $107 – $107 |
| 6 | Phcs all commercial plans other · outpatient | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 7 | Molina medicaid managed care plan other · outpatient | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 8 | First Health coventry all commercial plans other · outpatient | $221 | $221 | — | — | 25 | $221 – $221 |
| 9 | Blue Cross Blue Shield hmo other · outpatient | $325 | $325 | — | — | 94 | $325 – $325 |
| 10 | Blue Cross Blue Shield ers hmo other · outpatient | $330 | $330 | — | — | 191 | $330 – $330 |
| 11 | Blue Cross Blue Shield ppo other · outpatient | $349 | $349 | — | — | 760 | $349 – $349 |
| 12 | UnitedHealthcare exchange percent of total billed charges · outpatientfrom % of charges | $358 | $358 | — | — | 319 | $358 – $358 |
| 13 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $450 | $450 | — | — | 12 | $450 – $450 |
| 14 | Aetna all commercial plans other · outpatient | $504 | $504 | — | — | 53 | $504 – $504 |
| 15 | UnitedHealthcare all commercial plans percent of total billed charges · outpatientfrom % of charges | $572 | $572 | — | — | 150 | $572 – $572 |
| 16 | Cigna oap other commercial plan percent of total billed charges · outpatientfrom % of charges | $580 | $580 | — | — | 27 | $580 – $580 |
Last updated: Apr 1, 2026
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