APC 5522

Level 2 Imaging without Contrast at SSM-SLUH, 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.

Generation details were not recorded for this description.

Original text from hospital filings

Level 2 Imaging without Contrast

Saint Louis, MO

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Pricing by billing methodology

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How this price compares nationally

SSM-SLUH, Inc.’s median price of $124 is 7% below the median hospital's median price ($133), higher than 45% 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 SSM-SLUH, Inc.

Negotiated rates from the hospital’s own file: 10 payers, 30 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	Molina medicaid managed care plan other · outpatient	$85	$85	—	—	222	$85 – $85
2	Medica exchange other · outpatient	$86	$86	—	—	13	$86 – $86
3	Aetna better health medicaid managed care plan other · outpatient	$88	$88	—	—	53	$88 – $88
4	Blue Cross Blue Shield community il medicaid managed care plan other · outpatient	$90	$90	—	—	37	$90 – $90
5	Phcs all commercial plans other · outpatient	$98	$98	—	—	1–10	$98 – $98
6	Blue Cross Blue Shield anthem medicare managed care plan other · outpatient	$100	$100	—	—	405	$100 – $100
7	Molina dual eligible medicare/medicaid managed care plan other · outpatient	$100	$100	—	—	16	$100 – $100
8	UnitedHealthcare medicare managed care plan other · outpatient	$101	$101	—	—	1,895	$101 – $101
9	Humana medicare managed care plan other · outpatient	$101	$101	—	—	315	$101 – $101
10	Aetna gold advantage medicare managed care plan other · outpatient	$102	$102	—	—	869	$102 – $102
11	Medica medicare managed care plan other · outpatient	$102	$102	—	—	24	$102 – $102
12	Optum transplant medicare managed care plan other · outpatient	$102	$102	—	—	40	$102 – $102
13	UnitedHealthcare optum vaccn government other · outpatient	$102	$102	—	—	114	$102 – $102
14	Aetna carelink all commercial plans other · outpatient	$117	$117	—	—	1–10	$117 – $117
15	UnitedHealthcare employee other · outpatient	$124	$124	—	—	146	$124 – $124
16	Oscar exchange other · outpatient	$133	$133	—	—	1–10	$133 – $133
17	UnitedHealthcare non-ppo other commercial plan other · outpatient	$138	$138	—	—	943	$138 – $138
18	UnitedHealthcare options ppo other · outpatient	$138	$138	—	—	159	$138 – $138
19	Blue Cross Blue Shield anthem blue access ppo other · outpatient	$142	$142	—	—	991	$142 – $142
20	Cigna all commercial plans other · outpatient	$146	$146	—	—	260	$146 – $146
21	Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient	$149	$149	—	—	582	$149 – $149
22	Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient	$158	$158	—	—	84	$158 – $158
23	Blue Cross Blue Shield anthem pathway exchange other · outpatient	$180	$180	—	—	327	$180 – $180
24	Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges	$180	$180	—	—	26	$180 – $180
25	Humana all commercial plans percent of total billed charges · outpatientfrom % of charges	$203	$203	—	—	1–10	$203 – $203

Page 1 of 2 · 30 rates

Last updated: Apr 1, 2026

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