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
Lagrange, IN
See all hospitals reporting APC 5523 →Price type
Parkview Lagrange Hospital’s median price of $505 is 64% above the median hospital's median price ($308), higher than 75% of the 741 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: 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 | Aetna medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $389 | $389 | — | — | 15 | $389 – $389 |
| 2 | UnitedHealthcare medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $395 | $395 | — | — | 167 | $395 – $395 |
| 3 | Humana medicare managed care plan facility · other · outpatient | $407 | $407 | — | — | 98 | $407 – $407 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $415 | $415 | — | — | 41 | $415 – $415 |
| 5 | UnitedHealthcare hoosier care connect medicaid managed care plan facility · other · outpatient | $458 | $458 | — | — | 1–10 | $458 – $458 |
| 6 | UnitedHealthcare pathways medicaid managed care plan facility · other · outpatient | $464 | $464 | — | — | 1–10 | $464 – $464 |
| 7 | UnitedHealthcare all commercial plans facility · other · outpatient | $494 | $494 | — | — | 76 | $494 – $494 |
| 8 | Blue Cross Blue Shield anthem healthy indiana plan medicaid managed care plan facility · other · outpatient | $504 | $504 | — | — | 45 | $504 – $504 |
| 9 | Blue Cross Blue Shield anthem exchange facility · percent of total billed charges · outpatientfrom % of charges | $504 | $504 | — | — | 18 | $504 – $504 |
| 10 | Blue Cross Blue Shield anthem hoosier healthwise medicaid managed care plan facility · other · outpatient | $505 | $505 | — | — | 17 | $505 – $505 |
| 11 | Caresource healthy indiana plan medicaid managed care plan facility · other · outpatient | $505 | $505 | — | — | 18 | $505 – $505 |
| 12 | Caresource hoosier healthwise medicaid managed care plan facility · other · outpatient | $520 | $520 | — | — | 1–10 | $520 – $520 |
| 13 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $528 | $528 | — | — | 214 | $528 – $528 |
| 14 | Caresource exchange facility · percent of total billed charges · outpatientfrom % of charges | $606 | $606 | — | — | 11 | $606 – $606 |
| 15 | Blue Cross Blue Shield anthem dual medicare/medicaid managed care plan facility · percent of total billed charges · outpatientfrom % of charges | $740 | $740 | — | — | 1–10 | $740 – $740 |
| 16 | Blue Cross Blue Shield anthem hoosier care connect medicaid managed care plan facility · other · outpatient | $789 | $789 | — | — | 1–10 | $789 – $789 |
| 17 | Blue Cross Blue Shield anthem pathways medicaid managed care plan facility · other · outpatient | $844 | $844 | — | — | 1–10 | $844 – $844 |
| 18 | Cigna all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | 22 | $1.0k – $1.0k |
| 19 | First Health all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 20 | Aetna all commercial plans facility · other · outpatient | $1.4k | $1.4k | — | — | 16 | $1.4k – $1.4k |
Last updated: Sep 1, 2026
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