APC 5523

Imaging scan without contrast dye at Methodist West Houston Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Level 3 Imaging without Contrast

Houston, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Methodist West Houston Hospital’s median price of $453 is 47% above the median hospital's median price ($309), higher than 70% of the 744 hospitals reporting APC 5523. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5523 at Methodist West Houston Hospital

Negotiated rates from the hospital’s own file: 10 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 medicare managed care - ppo other · outpatient	$237	$237	—	—	110	$237 – $237
2	UnitedHealthcare medicare managed care - ppo other · outpatient	$238	$238	—	—	607	$238 – $238
3	Blue Cross Blue Shield medicare managed care - hmo other · outpatient	$239	$239	—	—	12	$239 – $239
4	Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient	$240	$240	—	—	186	$240 – $240
5	Humana medicare managed care - ppo other · outpatient	$242	$242	—	—	356	$242 – $242
6	Aetna medicare managed care - hmo/ppo other · outpatient	$245	$245	—	—	505	$245 – $245
7	UnitedHealthcare medicare managed care - hmo other · outpatient	$246	$246	—	—	326	$246 – $246
8	Optum transplant medicare managed care plan other · outpatient	$254	$254	—	—	1–10	$254 – $254
9	Devoted medicare managed care - hmo other · outpatient	$257	$257	—	—	105	$257 – $257
10	Molina medicare/medicaid managed care plan other · outpatient	$445	$445	—	—	1–10	$445 – $445
11	Molina exchange other · outpatient	$460	$460	—	—	21	$460 – $460
12	First Health first health/coventry ppo other · outpatient	$530	$530	—	—	1–10	$530 – $530
13	Phcs ppo other · outpatient	$1.3k	$1.3k	—	—	14	$1.3k – $1.3k
14	Blue Cross Blue Shield all commercial plans other · outpatient	$1.6k	$1.6k	—	—	1,986	$1.6k – $1.6k
15	Cigna all other benefit plans ppo other · outpatient	$1.8k	$1.8k	—	—	31	$1.8k – $1.8k
16	Cigna local plus/surefit hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	16	$2.0k – $2.0k
17	Cigna network c-24 hmo/ppo other · outpatient	$2.0k	$2.0k	—	—	107	$2.0k – $2.0k
18	UnitedHealthcare all commercial plans other · outpatient	$2.0k	$2.0k	—	—	578	$2.0k – $2.0k
19	Cigna pcp optional/pcp required benefit plans hmo other · outpatient	$2.1k	$2.1k	—	—	517	$2.1k – $2.1k
20	Aetna new business discount other commercial plan other · outpatient	$2.4k	$2.4k	—	—	12	$2.4k – $2.4k
21	Aetna hmo/pos/ppo other · outpatient	$2.4k	$2.4k	—	—	378	$2.4k – $2.4k
22	Cigna lifesource transplant other · outpatient	$2.7k	$2.7k	—	—	1–10	$2.7k – $2.7k
23	Molina medicaid managed care plan other · outpatient	$3.4k	$3.4k	—	—	1–10	$3.4k – $3.4k
24	Optum transplant other · outpatient	$5.0k	$5.0k	—	—	1–10	$5.0k – $5.0k

Last updated: Apr 1, 2026

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