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
Houston, TX
See all hospitals reporting APC 5522 →Price type
The Methodist Hospital’s median price of $389 is 193% above the median hospital's median price ($133), higher than 86% 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: 11 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 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $104 | $104 | — | — | 698 | $104 – $104 |
| 2 | UnitedHealthcare medicare managed care - ppo other · outpatient | $105 | $105 | — | — | 2,221 | $105 – $105 |
| 3 | Blue Cross Blue Shield medicare managed care - hmo other · outpatient | $106 | $106 | — | — | 60 | $106 – $106 |
| 4 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $107 | $107 | — | — | 654 | $107 – $107 |
| 5 | Humana medicare managed care - ppo other · outpatient | $107 | $107 | — | — | 1,160 | $107 – $107 |
| 6 | UnitedHealthcare medicare managed care - hmo other · outpatient | $107 | $107 | — | — | 1,016 | $107 – $107 |
| 7 | Aetna medicare managed care - hmo/ppo other · outpatient | $108 | $108 | — | — | 1,781 | $108 – $108 |
| 8 | Molina medicare/medicaid managed care plan other · outpatient | $110 | $110 | — | — | 1–10 | $110 – $110 |
| 9 | Devoted medicare managed care - hmo other · outpatient | $114 | $114 | — | — | 254 | $114 – $114 |
| 10 | Humana choicecare ppo other · outpatient | $130 | $130 | — | — | 1–10 | $130 – $130 |
| 11 | Molina advantage medicare managed care plan other · outpatient | $182 | $182 | — | — | 1–10 | $182 – $182 |
| 12 | MultiPlan ppo other · outpatient | $183 | $183 | — | — | 1–10 | $183 – $183 |
| 13 | Molina exchange other · outpatient | $230 | $230 | — | — | 152 | $230 – $230 |
| 14 | Optum transplant medicare managed care plan other · outpatient | $311 | $311 | — | — | 87 | $311 – $311 |
| 15 | Aetna new business discount other commercial plan other · outpatient | $377 | $377 | — | — | 79 | $377 – $377 |
| 16 | First Health first health/coventry ppo other · outpatient | $476 | $476 | — | — | 43 | $476 – $476 |
| 17 | Aetna hmo/pos/ppo other · outpatient | $477 | $477 | — | — | 2,392 | $477 – $477 |
| 18 | Blue Cross Blue Shield all commercial plans other · outpatient | $602 | $602 | — | — | 11,197 | $602 – $602 |
| 19 | Molina medicaid managed care plan other · outpatient | $700 | $700 | — | — | 49 | $700 – $700 |
| 20 | Aetna transplant other · outpatient | $786 | $786 | — | — | 14 | $786 – $786 |
| 21 | Cigna local plus/surefit hmo/ppo other · outpatient | $795 | $795 | — | — | 73 | $795 – $795 |
| 22 | Cigna network c-24 hmo/ppo other · outpatient | $836 | $836 | — | — | 608 | $836 – $836 |
| 23 | Phcs ppo other · outpatient | $872 | $872 | — | — | 49 | $872 – $872 |
| 24 | Cigna pcp optional/pcp required benefit plans hmo other · outpatient | $1.1k | $1.1k | — | — | 4,762 | $1.1k – $1.1k |
| 25 | Cigna all other benefit plans ppo other · outpatient | $1.2k | $1.2k | — | — | 121 | $1.2k – $1.2k |
Last updated: Apr 1, 2026
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