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
Dahlonega, GA
See all hospitals reporting APC 5522 →Price type
NGMC Lumpkin, LLC’s median price of $252 is 90% above the median hospital's median price ($133), higher than 75% 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: 7 payers, 13 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 | $13 | $13 | — | — | 1–10 | $13 – $13 |
| 2 | UnitedHealthcare state health benefit plan medicare managed care plan other · outpatient | $86 | $86 | — | — | 1–10 | $86 – $86 |
| 3 | UnitedHealthcare optum community care network government other · outpatient | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 4 | Blue Cross Blue Shield state health benefit plan medicare managed care plan other · outpatient | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 5 | Cigna healthspring medicare managed care plan other · outpatient | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 6 | Humana medicare managed care plan other · outpatient | $113 | $113 | — | — | 1–10 | $113 – $113 |
| 7 | Cigna connect hix ifp exchange other · outpatient | $249 | $249 | — | — | 1–10 | $249 – $249 |
| 8 | Cigna all commercial plans other · outpatient | $255 | $255 | — | — | 1–10 | $255 – $255 |
| 9 | Caresource medicaid managed care plan other · outpatient | $262 | $262 | — | — | 1–10 | $262 – $262 |
| 10 | Blue Cross Blue Shield anthem hmo other · outpatient | $375 | $375 | — | — | 12 | $375 – $375 |
| 11 | Healthpartners alliant all commercial plans other · outpatient | $431 | $431 | — | — | 11 | $431 – $431 |
| 12 | Blue Cross Blue Shield anthem ppo other · outpatient | $475 | $475 | — | — | 1–10 | $475 – $475 |
| 13 | Aetna all commercial plans other · outpatient | $871 | $871 | — | — | 1–10 | $871 – $871 |
Last updated: Apr 1, 2026
See Level 2 Imaging without Contrast pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.