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
Cleveland, OH
See all hospitals reporting APC 5523 →Price type
Metrohealth System’s median price of $270 is 12% below the median hospital's median price ($309), higher than 41% 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: 10 payers, 25 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 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $209 | $209 | — | — | 103 | $209 – $209 |
| 2 | Aetna medicare managed care plan facility · other · outpatient | $219 | $219 | — | — | 262 | $219 – $219 |
| 3 | Caresource medicare managed care plan facility · other · outpatient | $220 | $220 | — | — | 70 | $220 – $220 |
| 4 | Molina medicare managed care facility · other · outpatient | $220 | $220 | — | — | 1–10 | $220 – $220 |
| 5 | UnitedHealthcare medicare managed care facility · other · outpatient | $220 | $220 | — | — | 837 | $220 – $220 |
| 6 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $221 | $221 | — | — | 550 | $221 – $221 |
| 7 | Cigna medicare managed care plan facility · other · outpatient | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 8 | Devoted medicare managed care facility · other · outpatient | $223 | $223 | — | — | 176 | $223 – $223 |
| 9 | Humana medicare managed care facility · other · outpatient | $223 | $223 | — | — | 242 | $223 – $223 |
| 10 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $223 | $223 | — | — | 36 | $223 – $223 |
| 11 | UnitedHealthcare va ccn government facility · other · outpatient | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 12 | Tricare government facility · other · outpatient | $224 | $224 | — | — | 14 | $224 – $224 |
| 13 | Caresource exchange facility · other · outpatient | $313 | $313 | — | — | 141 | $313 – $313 |
| 14 | Molina exchange facility · other · outpatient | $313 | $313 | — | — | 273 | $313 – $313 |
| 15 | Molina medicaid managed care plan facility · other · outpatient | $368 | $368 | — | — | 96 | $368 – $368 |
| 16 | Caresource medicaid managed care plan facility · other · outpatient | $375 | $375 | — | — | 244 | $375 – $375 |
| 17 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $378 | $378 | — | — | 173 | $378 – $378 |
| 18 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $392 | $392 | — | — | 111 | $392 – $392 |
| 19 | Aetna cvs exchange facility · other · outpatient | $445 | $445 | — | — | 1–10 | $445 – $445 |
| 20 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $483 | $483 | — | — | 18 | $483 – $483 |
| 21 | Cigna all commercial plans facility · other · outpatient | $700 | $700 | — | — | 182 | $700 – $700 |
| 22 | UnitedHealthcare all commercial plans facility · other · outpatient | $703 | $703 | — | — | 180 | $703 – $703 |
| 23 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $846 | $846 | — | — | 602 | $846 – $846 |
| 24 | Medical Mutual all commercial plans facility · other · outpatient | $859 | $859 | — | — | 1,366 | $859 – $859 |
| 25 | Aetna all commercial plans facility · other · outpatient | $1.7k | $1.7k | — | — | 149 | $1.7k – $1.7k |
Last updated: Apr 1, 2026
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