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
Saint Louis, MO
See all hospitals reporting APC 5523 →Price type
SSM-SLUH, Inc.’s median price of $312 is 1% above the median hospital's median price ($309), higher than 51% of the 744 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: 10 payers, 29 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 | $196 | $196 | — | — | 63 | $196 – $196 |
| 2 | Blue Cross Blue Shield community il medicaid managed care plan other · outpatient | $196 | $196 | — | — | 1–10 | $196 – $196 |
| 3 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $206 | $206 | — | — | 112 | $206 – $206 |
| 4 | Humana all commercial plans percent of total billed charges · outpatientfrom % of charges | $218 | $218 | — | — | 1–10 | $218 – $218 |
| 5 | UnitedHealthcare medicare managed care plan other · outpatient | $218 | $218 | — | — | 492 | $218 – $218 |
| 6 | Medica exchange other · outpatient | $221 | $221 | — | — | 1–10 | $221 – $221 |
| 7 | Molina dual eligible medicare/medicaid managed care plan other · outpatient | $223 | $223 | — | — | 1–10 | $223 – $223 |
| 8 | Aetna gold advantage medicare managed care plan other · outpatient | $224 | $224 | — | — | 210 | $224 – $224 |
| 9 | Humana medicare managed care plan other · outpatient | $231 | $231 | — | — | 81 | $231 – $231 |
| 10 | UnitedHealthcare optum vaccn government other · outpatient | $231 | $231 | — | — | 36 | $231 – $231 |
| 11 | UnitedHealthcare community care medicaid managed care plan other · outpatient | $247 | $247 | — | — | 71 | $247 – $247 |
| 12 | Oscar exchange other · outpatient | $252 | $252 | — | — | 1–10 | $252 – $252 |
| 13 | UnitedHealthcare non-ppo other commercial plan other · outpatient | $292 | $292 | — | — | 157 | $292 – $292 |
| 14 | Aetna better health medicaid managed care plan other · outpatient | $294 | $294 | — | — | 1–10 | $294 – $294 |
| 15 | Optum transplant medicare managed care plan other · outpatient | $298 | $298 | — | — | 24 | $298 – $298 |
| 16 | Blue Cross Blue Shield anthem healthy blue medicaid managed care plan other · outpatient | $350 | $350 | — | — | 100 | $350 – $350 |
| 17 | Cigna all commercial plans other · outpatient | $370 | $370 | — | — | 48 | $370 – $370 |
| 18 | UnitedHealthcare options ppo other · outpatient | $396 | $396 | — | — | 24 | $396 – $396 |
| 19 | Medica medicare managed care plan other · outpatient | $463 | $463 | — | — | 1–10 | $463 – $463 |
| 20 | Blue Cross Blue Shield anthem blue preferred hmo/pos other · outpatient | $470 | $470 | — | — | 11 | $470 – $470 |
| 21 | UnitedHealthcare employee other · outpatient | $553 | $553 | — | — | 22 | $553 – $553 |
| 22 | Blue Cross Blue Shield anthem traditional percent of total billed charges · outpatientfrom % of charges | $637 | $637 | — | — | 1–10 | $637 – $637 |
| 23 | Blue Cross Blue Shield anthem pathway exchange other · outpatient | $825 | $825 | — | — | 54 | $825 – $825 |
| 24 | Blue Cross Blue Shield anthem blue access ppo other · outpatient | $905 | $905 | — | — | 181 | $905 – $905 |
| 25 | Blue Cross Blue Shield anthem blue access choice all commercial plans other · outpatient | $913 | $913 | — | — | 124 | $913 – $913 |
Last updated: Apr 1, 2026
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