APC 5523

Imaging scan without contrast dye at NGMC Lumpkin, LLC

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

Dahlonega, GA

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Pricing by billing methodology

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How this price compares nationally

NGMC Lumpkin, LLC’s median price of $352 is 14% above the median hospital's median price ($309), higher than 58% 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 NGMC Lumpkin, LLC

Negotiated rates from the hospital’s own file: 6 payers, 12 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 state health benefit plan medicare managed care plan other · outpatient	$140	$140	—	—	1–10	$140 – $140
2	Aetna medicare managed care plan other · outpatient	$150	$150	—	—	23	$150 – $150
3	UnitedHealthcare state health benefit plan medicare managed care plan other · outpatient	$195	$195	—	—	34	$195 – $195
4	Humana medicare managed care plan other · outpatient	$207	$207	—	—	32	$207 – $207
5	UnitedHealthcare optum community care network government other · outpatient	$239	$239	—	—	1–10	$239 – $239
6	Cigna healthspring medicare managed care plan other · outpatient	$251	$251	—	—	34	$251 – $251
7	Cigna connect hix ifp exchange other · outpatient	$454	$454	—	—	1–10	$454 – $454
8	Cigna all commercial plans other · outpatient	$479	$479	—	—	1–10	$479 – $479
9	Healthpartners alliant all commercial plans other · outpatient	$605	$605	—	—	16	$605 – $605
10	Blue Cross Blue Shield anthem ppo other · outpatient	$658	$658	—	—	1–10	$658 – $658
11	Blue Cross Blue Shield anthem hmo other · outpatient	$787	$787	—	—	14	$787 – $787
12	Aetna all commercial plans other · outpatient	$1.5k	$1.5k	—	—	1–10	$1.5k – $1.5k

Last updated: Apr 1, 2026

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