APC 5522

Level 2 Imaging without Contrast at Monroe Clinic, Inc.

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.

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Original text from hospital filings

Level 2 Imaging without Contrast

Monroe, WI

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How this price compares nationally

Monroe Clinic, Inc.’s median price of $103 is 23% below the median hospital's median price ($133), higher than 8% of the 745 hospitals reporting APC 5522. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC 5522 at Monroe Clinic, Inc.

Negotiated rates from the hospital’s own file: 8 payers, 17 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	UnitedHealthcare community care medicaid managed care plan other · outpatient	$47	$47	—	—	34	$47 – $47
2	Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient	$48	$48	—	—	19	$48 – $48
3	Molina medicaid managed care plan other · outpatient	$69	$69	—	—	167	$69 – $69
4	Molina medicare managed care plan other · outpatient	$70	$70	—	—	1–10	$70 – $70
5	UnitedHealthcare medicare managed care plan other · outpatient	$101	$101	—	—	237	$101 – $101
6	Aetna medicare managed care plan other · outpatient	$101	$101	—	—	325	$101 – $101
7	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$102	$102	—	—	87	$102 – $102
8	Humana medicare managed care plan other · outpatient	$103	$103	—	—	127	$103 – $103
9	UnitedHealthcare optum vaccn government other · outpatient	$103	$103	—	—	42	$103 – $103
10	MultiPlan healtheos primary network all commercial plans percent of total billed charges · outpatientfrom % of charges	$376	$376	—	—	1–10	$376 – $376
11	UnitedHealthcare all commercial plans other · outpatient	$526	$526	—	—	110	$526 – $526
12	First Health other commercial plan percent of total billed charges · outpatientfrom % of charges	$767	$767	—	—	1–10	$767 – $767
13	Cigna all commercial plans percent of total billed charges · outpatientfrom % of charges	$851	$851	—	—	23	$851 – $851
14	Blue Cross Blue Shield blue access ppo other · outpatient	$869	$869	—	—	419	$869 – $869
15	Blue Cross Blue Shield blue traditional traditional other · outpatient	$869	$869	—	—	1–10	$869 – $869
16	Blue Cross Blue Shield blue preferred / blue preferred plus hmo/pos other · outpatient	$879	$879	—	—	209	$879 – $879
17	Aetna all commercial plans other · outpatient	$994	$994	—	—	29	$994 – $994

Last updated: Apr 1, 2026

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