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
Lagrange, IN
See all hospitals reporting APC 5522 →Price type
Parkview Lagrange Hospital’s median price of $259 is 95% above the median hospital's median price ($133), higher than 75% of the 742 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, 20 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 | Humana medicare managed care plan facility · other · outpatient | $176 | $176 | — | — | 334 | $176 – $176 |
| 2 | UnitedHealthcare medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $181 | $181 | — | — | 459 | $181 – $181 |
| 3 | Aetna medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | 29 | $209 – $209 |
| 4 | Blue Cross Blue Shield anthem hoosier care connect medicaid managed care plan facility · other · outpatient | $216 | $216 | — | — | 12 | $216 – $216 |
| 5 | Humana medicaid managed care plan facility · other · outpatient | $216 | $216 | — | — | 1–10 | $216 – $216 |
| 6 | UnitedHealthcare all commercial plans facility · other · outpatient | $238 | $238 | — | — | 104 | $238 – $238 |
| 7 | Blue Cross Blue Shield anthem medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $244 | $244 | — | — | 121 | $244 – $244 |
| 8 | Caresource hoosier healthwise medicaid managed care plan facility · other · outpatient | $251 | $251 | — | — | 1–10 | $251 – $251 |
| 9 | Blue Cross Blue Shield anthem hoosier healthwise medicaid managed care plan facility · other · outpatient | $256 | $256 | — | — | 16 | $256 – $256 |
| 10 | Caresource healthy indiana plan medicaid managed care plan facility · other · outpatient | $256 | $256 | — | — | 30 | $256 – $256 |
| 11 | Blue Cross Blue Shield anthem pathways medicaid managed care plan facility · other · outpatient | $262 | $262 | — | — | 17 | $262 – $262 |
| 12 | Caresource exchange facility · percent of total billed charges · outpatientfrom % of charges | $262 | $262 | — | — | 23 | $262 – $262 |
| 13 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $264 | $264 | — | — | 423 | $264 – $264 |
| 14 | Blue Cross Blue Shield anthem exchange facility · percent of total billed charges · outpatientfrom % of charges | $274 | $274 | — | — | 42 | $274 – $274 |
| 15 | Blue Cross Blue Shield anthem dual medicare/medicaid managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $302 | $302 | — | — | 1–10 | $302 – $302 |
| 16 | Blue Cross Blue Shield anthem healthy indiana plan medicaid managed care plan facility · other · outpatient | $316 | $316 | — | — | 84 | $316 – $316 |
| 17 | UnitedHealthcare pathways medicaid managed care plan facility · other · outpatient | $447 | $447 | — | — | 1–10 | $447 – $447 |
| 18 | Cigna all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $448 | $448 | — | — | 53 | $448 – $448 |
| 19 | First Health all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $500 | $500 | — | — | 1–10 | $500 – $500 |
| 20 | Aetna all commercial plans facility · other · outpatient | $663 | $663 | — | — | 26 | $663 – $663 |
Last updated: Sep 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.