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
Houston, TX
See all hospitals reporting APC 5522 →Price type
Methodist Willowbrook Hospital’s median price of $237 is 78% above the median hospital's median price ($133), higher than 73% of the 745 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: 10 payers, 27 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 | Molina advantage medicare managed care plan other · outpatient | $84 | $84 | — | — | 1–10 | $84 – $84 |
| 2 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $106 | $106 | — | — | 58 | $106 – $106 |
| 3 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $106 | $106 | — | — | 297 | $106 – $106 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $107 | $107 | — | — | 672 | $107 – $107 |
| 5 | Humana medicare managed care - ppo other · outpatient | $107 | $107 | — | — | 1,085 | $107 – $107 |
| 6 | UnitedHealthcare medicare managed care - ppo other · outpatient | $108 | $108 | — | — | 1,683 | $108 – $108 |
| 7 | UnitedHealthcare medicare managed care - hmo other · outpatient | $109 | $109 | — | — | 832 | $109 – $109 |
| 8 | Molina medicare/medicaid managed care plan other · outpatient | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 9 | Devoted medicare managed care - hmo other · outpatient | $114 | $114 | — | — | 297 | $114 – $114 |
| 10 | Aetna medicare managed care - hmo/ppo other · outpatient | $142 | $142 | — | — | 1,403 | $142 – $142 |
| 11 | Optum transplant medicare managed care plan other · outpatient | $167 | $167 | — | — | 1–10 | $167 – $167 |
| 12 | Molina exchange other · outpatient | $213 | $213 | — | — | 59 | $213 – $213 |
| 13 | First Health first health/coventry ppo other · outpatient | $238 | $238 | — | — | 25 | $238 – $238 |
| 14 | Humana hmo/pos other · outpatient | $325 | $325 | — | — | 1–10 | $325 – $325 |
| 15 | Molina medicaid managed care plan other · outpatient | $350 | $350 | — | — | 12 | $350 – $350 |
| 16 | Aetna new business discount other commercial plan other · outpatient | $475 | $475 | — | — | 20 | $475 – $475 |
| 17 | Aetna hmo/pos/ppo other · outpatient | $478 | $478 | — | — | 1,022 | $478 – $478 |
| 18 | Blue Cross Blue Shield all commercial plans other · outpatient | $611 | $611 | — | — | 5,420 | $611 – $611 |
| 19 | Phcs ppo other · outpatient | $686 | $686 | — | — | 38 | $686 – $686 |
| 20 | Cigna local plus/surefit hmo/ppo other · outpatient | $1.4k | $1.4k | — | — | 35 | $1.4k – $1.4k |
| 21 | Cigna network c-24 hmo/ppo other · outpatient | $1.4k | $1.4k | — | — | 269 | $1.4k – $1.4k |
| 22 | UnitedHealthcare all commercial plans other · outpatient | $1.5k | $1.5k | — | — | 1,337 | $1.5k – $1.5k |
| 23 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $1.5k | $1.5k | — | — | 1,347 | $1.5k – $1.5k |
| 24 | Cigna all other benefit plans ppo other · outpatient | $1.6k | $1.6k | — | — | 53 | $1.6k – $1.6k |
| 25 | Optum transplant other · outpatient | $1.6k | $1.6k | — | — | 1–10 | $1.6k – $1.6k |
Last updated: Apr 1, 2026
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